A patient tells the nurse that he had made some decisions about his care when he thought he was going to die, but now that he knows he isn't, he wants all possible medical treatment. Which of the following should the nurse do?

1. Contact the health care provider for the patient to discuss the patient's decision.
2. Document the patient's wishes in the medical record.
3. Tell the patient that he cannot change is mind or treatment plan.
4. Contact social services to discuss the change in plans.


Contact the health care provider for the patient to discuss the patient's decision.

Rationale: Advance directives can be changed as the individual's needs and goals change. The nurse should contact the health care provider so that the patient's advance directive can be provided to the health care provider for documentation in the medical record.

Nursing

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The new stepfather of a child diagnosed with a conduct disorder wants to know the reason for including him in family therapy sessions. The nurse explains that the goal of family therapy is to:

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Order: Infuse dobutamine at 10 mcg/kg/min Patient's weight: 143 lb The client is receiving a dosage of _______________

a. 650 mcg/min b. 600 mcg/min c. 40 mg/hr d. 240 mg/min

Nursing