The nurse is caring for a patient diagnosed with a brain tumor who is about to undergo surgery to have the tumor removed
Before the surgery, the patient signs a document giving instructions to his family regarding the level and extent of life-prolonging treatments he desires. Which of the choices below describe this legal directive? Select all that apply.
a. The document is a durable power of attorney for healthcare.
b. The document is a living will.
c. The family can make decisions that are consistent with the document if the patient is incompetent.
d. The family is able to decide to prolong the patient's life, even if he does not want it.
e. The family has guidance on the treatments the patient wants.
B, C, E
This is an example of a living will that directs the family members to have care given to the patient based on what the patient wants if the patient is unable to make these decisions. With this document, the family cannot choose to do something the patient did not request. As described in the item, this is not a power of attorney, giving someone else the right to make healthcare decisions for the patient should he become incapable of making those decisions.
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Which of the following are ways the nurse can teach promoting wellness in children? (Select all that apply.)
a. teaching hygiene measures d. scheduling health checkups b. establishing sleep patterns e. immunizing when the child is older c. allowing long periods of play f. eating healthy meals
A physician prescribes the use of water-seal chest tube drainage for a client with a severe pleural effusion. What should the nurse ensure when using the water-seal chest tube drainage?
A) Filters need to be cleaned regularly to avoid unpleasant taste or smell. B) The chest tube should not be separated from the drainage system unless clamped. C) A nasal cannula should be used to administer oxygen when cleaning the opening. D) A secondary source of oxygen should be available in case of power failure.
The client has severe burns around the right hip. Which position is most important to be emphasized by the nurse that the client maintain to retain maximum function of this joint?
A. Hip maintained in 30-degree flexion, no knee flexion B. Hip flexed 90 degrees and knee flexed 90 degrees C. Hip, knee, and ankle all at maximum flexion D. Hip at zero flexion with leg flat
Which is true of the most likely cause of this murmur?
Mr. Chin is an 82-year-old man who comes to your office for a routine check. On examination, you notice a somewhat high-pitched murmur in the second right intercostal space during systole. It does not radiate and the rest of his examination is normal for his age. A) It often decreases carotid upstroke. B) It carries with it increased risk for cardiovascular disease. C) It is usually accompanied by an S3 gallop. D) It is found in 10% of otherwise normal elderly patients.