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
Related Questions
Correct Answer is B
Explanation
A. A client who is coughing only is still able to clear the airway by themselves.
B. Inability to make any sounds indicates a complete airway obstruction, requiring the Heimlich maneuver.
C. A client who can whisper has a partial airway obstruction and should be encouraged to continue coughing.
D. A high-pitched inspiratory stridor indicates a partial obstruction, not requiring the Heimlich maneuver but close monitoring.
Correct Answer is B
Explanation
A. Skin color is not the most critical parameter before a blood transfusion.
B. Temperature is important to monitor for baseline and the temperature should be monitored during infusion since an increase in temperature can indicate a transfusion reaction.
C. Fluid intake is relevant to assess overall hydration status but not the most critical before the transfusion.
D. Hemoglobin level is crucial to determine but it is not the most important data to obtain immediately before the infusion, as it does not change rapidly during the transfusion and does not indicate an ongoing reaction.
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