An older adult client with heart failure has a signed do not resuscitate (DNR) form to put in the medical record. The unlicensed assistive personnel (UAP) reports that the client is not breathing, and the nurse confirms the UAP's findings. Which action should the nurse take next?
Begin cardiopulmonary resuscitation (CPR) and call a code.
Ask the UAP to complete postmortem care.
Notify the family of the client's death.
Report client's status to the healthcare provider.
The Correct Answer is D
D. The healthcare provider is mandated to perform a examination of the client and confirm death before any announcements to the family.
A. The DNR order indicates that the client has chosen not to receive CPR, so beginning resuscitation would go against their wishes.
B. Postmortem care is typically performed after the healthcare provider has pronounced the death
C. notifying the family is usually done after the healthcare provider has been informed and death has been confirmed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
B. Implementing a 24-hour schedule of routine analgesic administration ensures consistent pain control and helps prevent breakthrough pain.
C. Determining the client's subjective measure of pain using a numerical pain scale allows the nurse to assess the severity of the pain and monitor changes over time, which is essential for effective pain management.
D. Providing comfort measures such as topical warm application and tactile massage can help alleviate pain and provide relief to the client. These measures are non-pharmacological interventions that can complement analgesic therapy and improve the client's comfort level.
A. Encouraging increased fluid intake can help prevent dehydration and promote overall well-being, but it may not directly address chronic pain management. However, monitoring urinary output is important for assessing hydration status and renal function.
E. Encouraging mobility and physical activity is important for maintaining overall function and preventing complications associated with immobility. However, it may not directly address chronic pain management.
Correct Answer is D
Explanation
D. The healthcare provider is mandated to perform a examination of the client and confirm death before any announcements to the family.
A. The DNR order indicates that the client has chosen not to receive CPR, so beginning resuscitation would go against their wishes.
B. Postmortem care is typically performed after the healthcare provider has pronounced the death
C. notifying the family is usually done after the healthcare provider has been informed and death has been confirmed.
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