A patient admitted to the nursing home for terminal care is determined that he should not receive extraordinary measures such as resuscitation or the use of a ventilator if he stops breathing, or intravenous (IV) fluids or a feeding tube if he is unable to eat or drink. The nurse explains that these desires can best be honored by:

informing his primary care provider of his desires.

filing an advance directive with the health care facility.

including these desires in his will.

signing a do-not-resuscitate/do-not-intubate (DNR}DNI) request.

Answer and Explanation

The Correct Answer is B

A. Informing his primary care provider of his desires: While it's important for the primary care provider to be aware of the patient's wishes, simply informing the provider may not ensure that these desires are respected in the event of a medical crisis. The primary care provider may not be immediately available during an emergency situation.

B. Filing an advance directive with the health care facility: This is the correct response. Advance directives allow individuals to specify their healthcare preferences in advance, including decisions about life-sustaining treatments such as resuscitation, ventilation, and artificial nutrition and hydration. Filing an advance directive ensures that the patient's wishes are documented and legally binding, providing guidance to healthcare providers in the event that the patient becomes unable to communicate or make decisions.

C. Including these desires in his will: While a will can address matters related to the distribution of assets and property after death, it typically does not cover healthcare decisions or preferences regarding end-of-life care. Healthcare preferences should be documented in an advance directive or similar legal document specifically designed for healthcare decisions.

D. Signing a do-not-resuscitate/do-not-intubate (DNR/DNI) request: While a DNR/DNI request specifies the patient's wishes regarding resuscitation and intubation, it may not cover other aspects of end-of-life care such as the use of IV fluids or feeding tubes. An advance directive provides a more comprehensive framework for expressing end-of-life care preferences beyond just resuscitation and intubation.

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Correct Answer is C

Explanation

A. Harsh and rattling: Harsh and rattling respirations are indicative of other respiratory conditions, such as respiratory tract obstruction or excessive secretions in the airways, rather than Cheyne-Stokes respiration.

B. Long periods of fast deep breaths: This describes hyperventilation, where there are rapid and deep breaths without periods of apnea, which is not characteristic of Cheyne-Stokes respiration.

C. Shallow followed by periods of apnea: Cheyne-Stokes respiration is characterized by a pattern of gradually increasing and then decreasing depth of respirations, followed by periods of apnea (no breathing). This pattern repeats cyclically.

D. Wheezing and labored: Wheezing and labored respirations are associated with conditions such as asthma or chronic obstructive pulmonary disease (COPD), rather than Cheyne-Stokes respiration.

A. Make sure the provider has certified the client’s death B. Cleanse the body while adhering to body fluid precautions C. Attach identification tags to the body D. Verify client’s organ and tissue donation status E. Remove medical equipment from the client

Correct Answer is A,D,E,B,C

Explanation

Sequence of Steps:

A. Make sure the provider has certified the client’s death
D. Verify client’s organ and tissue donation status
E. Remove medical equipment from the client
B. Cleanse the body while adhering to body fluid precautions
C. Attach identification tags to the body

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

Correct Answer is C

Explanation

A nurse is providing postmortem care for a client. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is A,D,E,B,C

Explanation

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. pleads "If Mom will just be OK. I'll do my homework every day."

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "Go away, I don't want company. "

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "l feel so hopeless about Mom's condition. "

A nurse provides a back massage as palliative care to an unconscious client who is grimacing and restless. Which of the following indicates a therapeutic response? (Select all that apply.)

A death that occurs under suspicious circumstances should be reported to the

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler Ross's level of: