A terminally ill patient and the family agree that the physician will write a do-not-resuscitate order for the patient. The nurse understands that what should be implemented when following this order?
1. Do not call a code if the patient stops breathing or the heart stops beating.
2. Call a code only if the patient stops breathing.
3. Call a code only if the patient's heart stops beating.
4. Withhold food and fluids but provide pain medication.
Correct Answer: 1
A do-not-resuscitate order is written by the physician for the patient who has a terminal illness or is near death. This order is based on the wishes of the patient and family that no cardiopulmonary resuscitation be performed for respiratory or cardiac arrest. When implementing this order, the nurse would not call a code if the patient stops breathing or the heart stops beating. Withholding food and fluids but providing pain medication would be elements of a comfort-measures-only order.
You might also like to view...
Joey is a 5-year-old who is causing his parents a lot of concern. His mother reports that "he bounces off the walls all the time" and can't focus on any one thing for very long
He is impulsive and has recently ran right out into the street in front of the family's home. His teacher has told his parents that he has done similar things at school. The nurse understands that: A. Joey shows all the signs of having ADHD and should probably be placed on Ritalin as soon as possible. B. Joey is just an active, healthy child who needs to be disciplined more effectively. C. Joey could be autistic, and additional testing will have to be done to confirm the diagnosis. D. Joey shows signs of having ADHD, but is too young for that diagnosis to be made definitively now.
A child with ALL is given leucovorin, a folinic acid, after high-dose methotrexate therapy. It is important to administer this drug because leucovorin
A) prevents methotrexate that is not incorporated into leukemia cells from entering normal cells. B) helps methotrexate enter leukemia cells the same as insulin helps glucose enter cells. C) is an experimental drug to ensure resistance to infection during methotrexate therapy. D) will encourage bone marrow to build new cells after methotrexate therapy.
Standardisation of concepts in clinical documents is achieved through the integration of clinical dictionaries and clinical language systems such as:
a. SNOMED. b. ICD-10. c. NANDA. d. all of the above.
When metronidazole is a component of an H. pylori treatment regimen, the patient must be instructed to:
1. avoid tyramine-containing foods. 2. take the drug with food. 3. take the drug on an empty stomach. 4. avoid alcohol.