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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Sickle cell anemia typically presents with hemolytic crises and sickle-shaped red blood cells, not necessarily heavy menstrual bleeding.
B. Folic acid deficiency anemia can cause macrocytic anemia but is less likely to cause heavy menstrual bleeding as the primary symptom.
C. Pernicious anemia is due to vitamin B12 deficiency and typically presents with neurological symptoms along with anemia, not necessarily heavy menstrual bleeding.
D. Iron-deficiency anemia commonly presents with weakness, fatigue, and heavy menstrual bleeding due to inadequate iron for red blood cell production.
Correct Answer is D
Explanation
A. Klebsiella is typically treated with other antibiotics, such as cephalosporins or carbapenems.
B. Pseudomonas aeruginosa is usually treated with antipseudomonal penicillins or cephalosporins.
C. Candida is a fungal infection treated with antifungals like fluconazole.
D. Vancomycin is particularly effective against methicillin-resistant Staphylococcus aureus (MRSA), making it the preferred treatment for MRSA infections.
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