The health status of an older patient with liver disease is rapidly deteriorating. There is no documentation on the medical record regarding the patient's care wishes
What should the nurse do to ensure the patient receives care that is desired at the end of life? 1. Ask social services to provide an advance directive for the patient to complete.
2. Talk with the patient regarding what the patient wants after the hospitalization ends.
3. Call a meeting with the patient, family, and primary care physician to discuss care goals.
4. Discuss the patient's dire situation with the family and find out what their wishes might be.
3
Rationale: If unsure of a patient's wishes for care at the end of life, a team meeting with the key decision makers such as the patient, family, and primary care physician should be held. The nurse should not ask for an advance directive unless the patient desires to complete one.
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Which of the following would be a problem for an older adult with a hearing loss? (Select all that apply.)
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When staff nurses ignore a patient's verbal threats or acts of intimidation:
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The nurse assessing a child finds the classic symptoms of scabies, which are:
a. Track-like raised red areas, which burn and hurt but do not itch at all b. constant itching and secondary infections from itching, in addition to primary dry scaly lesions on the arms and trunk c. daytime itching and vesicles containing fluid in a Track-like pattern d. nighttime itching and minute grayish-brown, threadlike burrow tracks with a black dot at the end of the track
In doing a physical assessment, a staff nurse must enter which zone of the patient's interpersonal space?
a. Personal zone b. Social consultative zone c. Public zone d. Intimate zone