An older woman with end-stage heart disease is hospitalized for severe heart failure. She is alert and requests that no heroic measures be implemented if her breathing stops.
What actions should the nurse take first?
Obtain a do not resuscitate prescription.
Set up a family conference to discuss the client's wishes.
Discuss with the client her meaning of heroic measures.
Consult the palliative care team about the client's care.
The Correct Answer is C
The nurse should first discuss with the client her meaning of heroic measures.
This will help the nurse to understand the client’s wishes and preferences for her care.
Choice A is incorrect because obtaining a do not resuscitate prescription should be done after discussing the client’s wishes and preferences.
Choice B is incorrect because setting up a family conference to discuss the client’s wishes should be done after discussing the client’s wishes and preferences with her.
Choice D is incorrect because consulting the palliative care team about the client’s care should be done after discussing the client’s wishes and preferences with her.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A well-approximated incision means that the edges of the wound are close together and aligned properly, which is a sign that the surgical incision is healing properly.
Choice A is incorrect because eschar and slough in the wound are not signs of proper healing.
Choice B is incorrect because beety red granulation tissue is not a sign of proper healing.
Choice C is incorrect because erythema and serosanguineous drainage are not signs of proper healing.
Correct Answer is ["4"]
Explanation
The client has been prescribed a one-time dose of metronidazole 2 grams by mouth.
Since 1 gram is equal to 1000 milligrams (mg), 2 grams is equal to 2000 mg.
The medication is available in 500 mg tablets, so the nurse should administer 2000 mg / 500 mg/tablet = 4 tablets.
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