An older adult male who is in his early 70's is admitted to the emergency department because of a COPD exacerbation. The client is struggling to breathe and the healthcare team is preparing for endotracheal intubation. The spouse's wile, who is 30 years younger than the client, asks the nurse to stop the procedure and provides the nurse a copy of the client's living will. Which action should the nurse take?

Alert the nursing staff of the client's do not resuscitate status.

Notify the healthcare provider of the client's wishes.

Place a certified copy of the living will in the client's record.

Facilitate a family meeting with the palliative care team.

Answer and Explanation

The Correct Answer is B

A. While the nursing staff should be aware of the DNR status, the immediate concern is the client's expressed wishes regarding treatment.

B. Notifying the healthcare provider is essential so that the medical team can respect the client’s wishes, especially in an acute situation where life-saving measures are being discussed.

C. Placing a certified copy of the living will in the record is important, but it should be done after informing the healthcare provider.

D. Facilitating a family meeting may be helpful, but the priority is to communicate the client's wishes to the medical team immediately.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. An adult nurse practitioner may provide care but is not primarily responsible for coordinating the overall plan of care.

B. A risk management nurse focuses on minimizing risk and liability rather than direct patient care coordination.

C. A neurology unit supervisor may oversee neurological cases but is not specifically involved in case management.

D. The nurse case manager plays a critical role in coordinating the client’s care across various services and ensuring continuity of care, especially for complex cases like spinal cord injuries.

A. Insert a urinary catheter for an uncomplicated client. B. Procure platelet products from the blood bank. C. Monitor an IV infusion rate on an established schedule. D. Titrate oxygen to the prescribed parameters.

Correct Answer is B

Explanation

A. Insert a urinary catheter for an uncomplicated client: Inserting a urinary catheter is a skill that requires sterile technique and is within the scope of practice for licensed nurses, not UAPs.

B. Procure platelet products from the blood bank: This task is appropriate for a UAP as it involves transporting the blood products, which does not require nursing judgment or specialized knowledge.

C. Monitor an IV infusion rate on an established schedule: Monitoring IV infusion rates involves assessing the client’s response and is a nursing responsibility that requires licensure.

D. Titrate oxygen to the prescribed parameters: Titrating oxygen involves adjusting the flow based on the client’s condition and requires nursing judgment, making it unsuitable for delegation to a UAP.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Correct Answer is D

Explanation

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAPY?

Correct Answer is B

Explanation

While caring for a client with a full thickness burn covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

A client receives a prescription for heparin 900 units/hr IV. The IV bag contains heparin 25,000 units in 500 mL of 0.45% normal saline. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)

The nurse is preparing a community outreach program on primary disease prevention. Which topic should the nurse plan to include in this event?

The nurse is planning discharge instructions for a client with type 2 diabetes mellitus who will be starting exenatide. Which information should be included in the discharge instructions?

The nurse is assessing a 4-year-old client with eczema. The child's skin is dry and scaly, and the parent reports that the child frequently scratches the lesions on the skin to the point of causing bleeding. Which guideline is indicated for care of this child?

When preparing a client for an intravenous pyelogram (IVP), it is essential for the nurse to take which action?

A client with chronic obstructive pulmonary disease (COPD) reports increased shortness of breath with activity. Which lest should the nurse schedule the client for evaluation of the symptoms?