The nurse is caring for a patient in the ICU who has been diagnosed with multiple organ dysfunction syndrome (MODS). The nurse's plan of care should include which of the following interventions?
A) Encouraging the family to stay hopeful and educating them to the fact that, in nearly all cases, the prognosis is good
B) Encouraging the family to leave the hospital and to take time for themselves as acute care of MODS patients may last for several months
C) Promoting communication with the patient and family along with addressing end-of-life issues
D) Discussing organ donation on a number of different occasions to allow the family time to adjust to the idea
Ans: C
Feedback:
Promoting communication with the patient and family is a critical role of the nurse with a patient in progressive shock. It is also important that the health care team address end-of-life decisions to ensure that supportive therapies are congruent with the patient's wishes. Many cases of MODS result in death and the life expectancy of patients with MODS is usually measured in hours and possibly days, but not in months. Organ donation should be offered as an option on one occasion, and then allow the family time to discuss and return to the health care providers with an answer following the death of the patient.
You might also like to view...
Which of the following screenings are typically administered in the school setting? (Select all that apply.)
a. Blood pressure b. Chest x-ray c. Cholesterol and blood glucose d. Height and weight e. Scoliosis f. Visual and hearing acuity
A young client presenting at the health clinic with fever and mucopurulent vaginal drainage is diagnosed with acute pelvic inflammatory disease (PID). Which long-term affect is of greatest concern in the care of this client?
A) Chronic pelvic inflammatory disease B) Infertility C) Pelvic pain D) Ascending infection
Small-framed, thin African American women are at greatest risk for osteoporosis
Indicate whether the statement is true or false
A client with severe metabolic alkalosis has been admitted to the unit and is being cared for by a nursing student along with the nurse. Which of the following does the nurse tell the student is a priority treatment for this client?
1. Determining the underlying cause of the metabolic alkalosis 2. Administering medication for metabolic alkalosis 3. Teaching the client the risk factors for metabolic alkalosis 4. Setting goals for the client with metabolic alkalosis