A client with terminal cancer is dying. For the past several days, the client has refused food and fluids, and she pushes the caregiver's hands away when attempts are made to feed her or offer any kind of fluid
The family is considering placing a gastrostomy tube because they feel the client is "starving to death." The nurse should: A)
Honor the family's wishes and have them sign a consent form.
B)
Take the case to the hospital's ethics committee.
C)
Honor the client's refusal and help the family come to terms with the situation.
D)
Talk to the physician so he can move forward with the family's wishes.
C
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The nurse working on a pediatric unit is caring for an infant who lost a large quantity of blood during an accident
The physician believes the child will die without a blood transfusion, and explains that the infant is too critical to attempt other measures to increase the child's blood count. The parents refuse to allow the transfusion because it goes against their beliefs as Jehovah's Witnesses. Following ethical and legal principles, the nurse anticipates which of the following? 1. The physician will seek a court order to administer blood. 2. The parents' beliefs will be respected, and the infant might die. 3. The physician will order administration of medication to stimulate red blood cell production. 4. The physician will continue to try to change one parent's mind.
The population nurse is participating on a committee to improve the way health care is provided to individuals who live in the state. What characteristic of the population should the nurse identify to improve the organization and effectiveness of health
care delivery? (Select all that apply.) 1. Technological advances. 2. Changes in delivery systems. 3. Changing population demographics. 4. More uninsured members in the state. 5. Reduced numbers of healthcare providers.
You have a physician order for room air arterial gas measurements. How long must the patient be breathing room air before you can draw the arterial blood specimen?
1. 15 minutes 2. 30 minutes 3. 45 minutes 4. 1 hour
Patients who are being treated with epoetin alfa need to be monitored for the development of:
1. Thrombocytopenia 2. Neutropenia 3. Hypertension 4. Gout