The ICU nurse caring for a patient at the end of life understands that "limitation" of care refers to a decision:
1. To stop all measures, including pain medication
2. To exclude all but immediate family members from the patient's room
3. Not to initiate one or more interventions
4. To stop one or more therapies after they had been initiated
3
Rationale 1: Stopping an already started therapy is referred to as "withdrawal."
Rationale 2: Limiting family members has nothing to do with limiting care to a patient.
Rationale 3: According to Copnell, limitation occurs when the decision is made not to institute a medical therapy because the therapy is unlikely to benefit the patient.
Rationale 4: Stopping an already started therapy is referred to as "withdrawal."
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A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to
A) ragweed. B) pollen. C) pork. D) shellfish.
The nurse is caring for a 7-year-old boy whose left leg is immobilized. What is the priority nursing intervention?
A) Enlist the assistance of a child life specialist. B) Explain to the boy that he must keep his leg very still. C) Apply a clove hitch restraint to the boy's left leg. D) Explain that a restraint will be applied if he cannot hold still.
The new mother of a 2-day-old neonate who weighed 8 pounds at birth is distressed that the baby has lost one-half pound. The home health nurse's response is one of:
a. Alarm as this is a drastic weight loss b. Concern as this may be an indicator of inadequate nutrition c. Reassurance as this is a normal weight loss d. Alertness as such weight loss is not expected
In teaching a patient with malignant melanoma about this disorder, the nurse recognizes that the prognosis of the patient is most dependent on:
A. the thickness of the lesion B. the degree of color change in the lesion C. how much the lesion has spread superficially D. the amount of ulceration present in the lesion