An older adult client is scheduled to have an elective surgical procedure and informs the nurse that she wants to be designated as a "do not resuscitate" (DNR) case. Which of the following responses should the nurse provide?

"You need to let your provider know your wishes after the procedure."

"This is a minor procedure; there is no need for this request."

"You need to discuss your request with the hospital chaplain."

"Your provider needs to talk with you concerning your request."

Answer and Explanation

The Correct Answer is D

A. Waiting until after the procedure to inform the provider is not appropriate for discussing end-of-life wishes.
B. The seriousness of the procedure does not determine the necessity of a DNR request; it's the client's right to express this choice.
C. While spiritual support can be helpful, discussing DNR orders typically involves the healthcare team and the client directly.
D. The provider should directly discuss the client's wishes regarding a DNR order to ensure understanding and documentation.

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Correct Answer is ["A","C","E","F"]

Explanation

A. The client has not received pneumococcal vaccine, which increases susceptibility to pneumococcal pneumonia.
B. The client is oriented to time place and person which is normal.
C. The client has not received influenza vaccine, which increases susceptibility to pneumococcal pneumonia.
D. The client has no significant health history other than the primary concern.
E. The client's fluid intake seems to be reduced, as indicated by their decreased urination and reports of not drinking much water due to a sore throat, which can contribute to the risk of infection.
F. Being 70 years old increases susceptibility to respiratory infections like pneumonia.
G. No history of smoking reduces risk compared to smokers, but is still a risk factor in pneumonia development.

A. Increase intake of low fiber foods. B. Avoid drinking hot liquids. C. Include probiotic foods in the daily diet. D. Increase fluid intake to 1500 mL daily. E. Increase daily exercise. F. Increase daily exercise.

Correct Answer is ["C","D","E"]

Explanation

A. Increasing the intake of high-fiber foods, not low-fiber ones, as fiber helps to soften stools and promote bowel movements.
B. Drinking warm or hot liquids can stimulate bowel movements, so they should not be avoided.
C. Including probiotic foods in the diet can help maintain a healthy gut flora, which is beneficial for digestion and preventing constipation.
D. It is crucial to increase fluid intake, aiming for at least 1500 mL daily, to help soften the stool and support regular bowel movements.
E. Increasing daily exercise, especially walking, can stimulate the muscles involved in the digestive process and help prevent constipation.

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An older adult client is scheduled to have an elective surgical procedure and informs the nurse that she wants to be designated as a "do not resuscitate" (DNR) case. Which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department (ED) is admitting a client. Exhibits Select 4 findings in the client's medical record that place them at risk for pneumonia.

Correct Answer is ["A","C","E","F"]

Explanation

A nurse in an emergency department is caring for a client who has abdominal pain. Exhibits A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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