A nurse responds to the room of a client who is recovering from a cardiac arrest where CPR was performed. The client's child is distraught and tells the nurse that their parent has a do-not-resuscitate (DNR) prescription in their medical record. Which of the following actions should the nurse take first?
Report the occurrence to the nursing supervisor,
Complete an incident report stating the facts of the situation.
Verify the DNR prescription is current in the medical record.
Request a meeting with the ethics committee.
The Correct Answer is C
A. Report the occurrence to the nursing supervisor:
While reporting the occurrence is important, verifying the DNR status takes precedence. The nurse needs to gather information and confirm whether the patient has a current DNR order before escalating the issue to a higher authority.
B. Complete an incident report stating the facts of the situation:
Completing an incident report is a part of the process, but it should not be the first action. The immediate concern is to determine if the patient has a valid DNR order. An incident report can be completed later to document the situation and any actions taken.
C. Verify the DNR prescription is current in the medical record.
Verifying the DNR (do-not-resuscitate) prescription is the first and most immediate action the nurse should take. It is crucial to confirm the current status of the DNR order to ensure that the healthcare team is following the patient's wishes. If the DNR is indeed valid and up-to-date, it means the resuscitation efforts, including CPR, were contrary to the patient's expressed wishes.
D. Request a meeting with the ethics committee:
Contacting the ethics committee may be necessary depending on the circumstances, but it is not the first step. Verifying the DNR status is an immediate action that can guide subsequent decisions. If there are ethical concerns or conflicts, involving the ethics committee can be considered after confirming the facts surrounding the DNR order.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5ml"]
Explanation
To calculate the volume (mL) that the nurse should administer per dose, you can use the following formula:
Volume (mL) = Dose (mg)/Concentration (mg/mL)
In this case:
Volume = 500 mg/ 330 mg/mL
Volume≈1.5mL
Therefore, the nurse should administer approximately 1.5 mL per dose of cefazolin 500 mg IM.
Correct Answer is D
Explanation
A. The statement "Libel is the intentional infliction of emotional distress due to negligent nursing actions" is incorrect. Libel refers to written or published false statements that damage a person's reputation. It is not related to intentional infliction of emotional distress or negligence in nursing actions. This statement reflects a misunderstanding of the concept of libel.
B. The statement "Documenting negative opinions about a client's personality is considered libel" is also incorrect. Libel involves false statements, and expressing negative opinions, even in documentation, may not necessarily qualify as false unless they are untrue statements. However, negative opinions about a client's personality may be considered unprofessional or inappropriate, but they do not constitute libel.
C. The statement "Failing to complete an incident report following a client injury is an act of libel" is incorrect. Libel is related to false statements, and failing to complete an incident report is a failure in documentation but does not inherently involve making false statements. This statement demonstrates a misunderstanding of what constitutes libel.
D. The statement "A nurse can be charged with libel if she discusses client information in a public area" is correct. Discussing client information in a public area, where unauthorized individuals may overhear and obtain sensitive information, can be a violation of confidentiality. While it may not strictly be libel, it could lead to legal and ethical consequences. This statement reflects an understanding of the importance of maintaining client confidentiality and the potential legal implications of disclosing private information in public areas.
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