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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
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. Assist a client on strict bedrest with hygiene: Assisting with activities of daily living (ADLs), such as bathing, grooming, and perineal care, is a core competency for UAPs. Even though the client is on strict bedrest,providing hygiene is a routine, non-invasive task that does not require clinical judgment or nursing assessment. The UAP can safely perform this while maintaining the client's prescribed position.
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.
Correct Answer is A
Explanation
A. Instituting droplet precautions is crucial to prevent the spread of COVID-19, especially since the client may be positive and symptomatic. Placing the client in a private room ensures the safety of others in the healthcare facility.
B. While informing others about potential exposure is important, it does not address immediate safety and infection control measures.
C. Starting an IV infusion for antiviral drugs may be appropriate after a positive test but does not take precedence over isolation measures.
D. Counseling family members to monitor for symptoms is helpful but is secondary to ensuring that the client is safely managed in the emergency department.
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