The nurse is caring for a patient diagnosed with a terminal illness who is interested in signing a healthcare Advanced Directive. Which of the following are included in this type of end-of-life planning? Select all that apply.

"Addressing organ donation and autopsy issues."

"Naming a durable power of attorney for my health care needs."

"Addressing who gets my personal items if I should die."

"Naming which life sustaining treatments, I want and do not want."

Answer and Explanation

Correct Answer : B,D

A. "Addressing organ donation and autopsy issues." Advanced directives typically address preferences about medical treatment and end-of-life care, but organ donation and autopsy decisions are not always included in these directives. Organ donation often involves a separate document or registration.

B. "Naming a durable power of attorney for my health care needs." An advanced directive often includes designating a durable power of attorney (DPOA) for healthcare decisions. This person is authorized to make medical decisions on the patient’s behalf if they become unable to do so themselves.

C. "Addressing who gets my personal items if I should die." The distribution of personal items is typically covered in a will, not an advanced directive. Advanced directives focus on healthcare decisions rather than the distribution of personal property.

D. "Naming which life-sustaining treatments I want and do not want." Advanced directives often include instructions about specific medical treatments and interventions that the patient does or does not want, such as resuscitation, mechanical ventilation, or tube feeding.

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Correct Answer is D

Explanation

A. "Are you usually anxious about unknown situations?" This question may help understand the client's general anxiety but does not directly address the specific concern related to their current hospital admission.

B. "Do you have any questions about this admission?" This response is practical and offers the client an opportunity to clarify any doubts about the current admission, which might help reduce anxiety.

C. "Are you here for the same reason?" This question is specific to the reason for the admission but may not fully address the anxiety related to the hospital environment.

D. "Can you tell me more about that experience?" This response encourages the client to discuss their previous negative experience, which can help in understanding their anxiety and providing targeted support.

A. Apply the stockings once the patient has gotten out of bed for the day. B. Massage the patient's legs before application of the stockings. C. Measure both patient's legs to determine the proper stocking size. D. Assess the patient's pedal pulses before application of stockings.

Correct Answer is C

Explanation

A. Apply the stockings once the patient has gotten out of bed for the day. Compression stockings should be applied while the patient is still in bed, before they get up, to avoid issues with blood flow and to ensure proper fit.

B. Massage the patient's legs before application of the stockings. Massaging the legs before applying compression stockings can help in reducing swelling and ensuring proper application.

C. Measure both patient's legs to determine the proper stocking size. Measuring the legs is crucial to ensure that the stockings fit properly and provide the correct level of compression.

D. Assess the patient's pedal pulses before application of stockings. Checking pedal pulses is important to ensure adequate blood flow and to avoid complications with the use of compression stockings.

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The nurse is caring for a patient diagnosed with a terminal illness who is interested in signing a healthcare Advanced Directive. Which of the following are included in this type of end-of-life planning? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client to the hospital. The client states, "Hospitals make me anxious ever since my last visit. Which of the following would be the most appropriate response by the nurse?

Correct Answer is D

Explanation

The nurse is preparing to apply a patient's knee-high graduated compression stockings. Which of the following should the nurse do first?

Correct Answer is C

Explanation

The nurse is obtaining a history from a patient reference activity. Which of the following should be included? Select all that apply.

The nurse is developing the plan of care for a patient who is unable to bear weight on the right foot. The patient requires assistance to get out of bed and has recently fallen. Which of the following nursing diagnosis would be most appropriate for this patient?

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The nurse is repositioning a patient who has a spinal injury and notes reddened areas on the heels of both feet. The nurse should place the patient in which of the following positions?

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