A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?
Support the client's decision to stop the treatment.
Tell the client she should discuss this decision with her family.
Ask the facility chaplain to visit the client.
Discuss alternative treatment methods with the client.
The Correct Answer is A
As a nurse, it is important to respect the client's autonomy and right to make decisions about their own care. The decision to stop dialysis treatment is a personal one and should be respected by the healthcare team. The nurse should support the client's decision and provide information and resources to help the client manage symptoms and maintain comfort during the end-of-life process. It is not appropriate for the nurse to suggest that the client discuss the decision with her family or discuss alternative treatment methods, as these decisions should be made by the client in conjunction with their healthcare provider. It may be appropriate to offer spiritual or emotional support to the client, but this should be based on the client's preferences and not imposed upon them by the healthcare team.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Memory loss that disrupts ADLs
Explanation: Dementia is a condition characterized by a decline in cognitive function that affects a person's ability to perform activities of daily living (ADLs). Memory loss is a common symptom of dementia, particularly in the early stages. The memory loss can disrupt a person's ability to carry out tasks they were previously able to do independently, such as dressing, bathing, and eating. Therefore, option a is the correct answer.
Option b, catatonia, is a condition characterized by a lack of movement or activity, which is not typically associated with dementia.
Option c, illusions, involve a misinterpretation of sensory information and may occur in some forms of dementia but are not a defining feature.
Option d, pressured speech, is a symptom commonly associated with mania or bipolar disorder, but is not typically seen in dementia.
Correct Answer is D
Explanation
Varicella zoster, also known as chickenpox, is a highly contagious viral infection that can be spread through contact with respiratory secretions or fluid from the vesicular rash.
Contact precautions include wearing gloves and gown when in contact with the client or any potentially contaminated surfaces or materials, and isolating the client in a private room if possible.
Assigning the client to a negative pressure airflow room is not necessary unless the client has a compromised immune system or is experiencing severe respiratory symptoms.
Having visitors remain at least 0.91 m (3 feet) away from the client is not sufficient to prevent the spread of the virus.
Administering aspirin to a client with varicella zoster is contraindicated because it can increase the risk of developing Reye's syndrome, a potentially fatal condition.
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