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 B
Explanation
The symptoms of pain, numbness, and tingling sensations in the lower legs are consistent with neuropathic pain.
Neuropathic pain is a complex type of pain initiated or caused by a primary lesion or dysfunction in the nervous system1.
Therefore, the nurse should document the finding as neuropathic pain.
Choice A is not correct because acute pain is a general term that does not specify the type of pain experienced by the patient.
Choice C is not correct because visceral pain refers to pain that originates from internal organs.
Choice D is not correct because nociceptive pain refers to pain caused by tissue damage or injury.
Correct Answer is C
Explanation
Nurses who provide end of life care are trained to communicate in a way that is concise, yet sensitive.
A personalized approach is often taken to meet the unique communication needs of each patient and to recognize when a person may be in pain or distressed 1.
Choice A is not the answer because asking questions in a vague, nonspecific format can lead to confusion and misunderstanding.
Choice B is not the answer because getting the most difficult questions over with first can be overwhelming for the client.
Choice D is not the answer because sharing personal values may not put the client at ease and may even make them feel uncomfortable.
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