A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

"The Patient Self-Determination Act (PSDA) will explain your rights to change lifesaving measures."

"The durable power of attorney for health care can cancel the client's living will."

"The living will states the client's wishes regarding lifesaving measures."

"The case manager can make changes to the client's living will."

Answer and Explanation

The Correct Answer is C

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Correct Answer is C

Explanation

A.Medications and blood should never be mixed in the same line because it can cause reactions, interference with the blood product, and complications for the client. Medications should be administered through a separate IV line or a port further away from the client.

B.Blood transfusions should typically be completed within 2 to 4 hours to reduce the risk of bacterial contamination and ensure that the blood does not exceed a safe infusion duration.

C.Y tubing is commonly used for blood transfusions, where one arm of the Y is used for the packed RBCs and the other is for normal saline. Normal saline is used to flush the line before and after administering blood, ensuring the infusion is free of air and that the blood flows smoothly without clotting.

D.The drip chamber should not be completely filled with blood. It should have a small amount of blood for monitoring the infusion rate, but the filter within the drip chamber is designed to filter any clots or debris. A completely filled chamber with blood can make it difficult to assess the flow rate, and could indicate that the blood is not flowing properly.

A. Crackles upon auscultation B. Bounding pulse C. Pitting edema D. Swelling at the IV site E. Urine-specific gravity greater than 1.030

Correct Answer is ["A","B","C"]

No explanation

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A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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