While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?
Take the family members quickly out of the patient room and remain with them.
Tell the family members that watching the resuscitation will be very stressful.
Ask family members if they wish to remain in the room during the resuscitation.
Assign a staff member to wait with family members just outside the patient room.
The Correct Answer is C
A. Quickly removing the family members may add to their distress and does not respect their right to decide.
B. Telling them it will be stressful assumes their reaction without giving them a choice.
C. Allowing the family members to choose whether to stay respects their autonomy and can provide comfort during a difficult time. It is also in line with current best practices for family presence during resuscitation.
D. Assigning a staff member to wait outside is appropriate but should be done after offering the family the option to stay in the room.
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Related Questions
Correct Answer is D
Explanation
A. This response is dismissive of the patient's concerns and does not address the underlying issue of the patient's misunderstanding of cardiac rehabilitation.
B. This response defers to the physician without providing the patient with helpful information.
C. While true, this statement does not address the patient’s concern about the irreversibility of heart damage.
D. This response directly addresses the patient’s concern by explaining the purpose of cardiac rehabilitation, which is to safely increase activity levels and improve overall heart health, even though the heart damage cannot be undone.
Correct Answer is A
Explanation
A. Clustering nursing activities helps to minimize interruptions, allowing the patient to have longer periods of uninterrupted rest, which is essential for recovery and reducing sensory disturbances from sleep deprivation.
B. Silencing alarms could compromise patient safety and is not recommended.
C. Administering sedatives or opioids should be done cautiously and is not a first-line approach for promoting sleep, especially if non-pharmacological methods can be effective.
D. While reducing nighttime assessments may help with sleep, it is not always feasible and should be balanced with the need for monitoring the patient’s condition.
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