A 75-year-old patient, who suffered a massive stroke 3 weeks ago, has been unresponsive and has required ventilatory support since the time of the stroke. The physician has approached the spouse regarding placement of a permanent feeding tube
The spouse states that the patient never wanted to be kept alive by tubes and personally didn't want what was being done. After holding a family conference with the spouse, the medical team concurs and the feeding tube is not placed. This situation is an example of: a. euthanasia.
b. palliative care.
c. withdrawal of life support.
d. withholding of life support.
D
Because the tube feeding had not been placed in the care of this patient, this scenario is an example of withholding of life support. Withholding of life support does not constitute euthanasia. Withdrawal of life support involves discontinuation of previously established therapies in a terminally ill patient.
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__________ coping mechanisms are means of successfully solving a problem or reducing one's stress level
a. Defensive b. Maladaptive c. Constructive d. Individual
Several children a day are seen in the emergency department for treatment of illnesses and injuries. The situation that would create a high index of suspicion of child abuse is a child who:
a. has repeated middle ear infections. b. complains of abdominal cramps and upset stomach. c. has perineal bruises and urinary tract infections. d. displays reduced functioning at school.
A patient with alcohol dependence is admitted to the hospital with back pain following a fall. Twenty-four hours after admission, the patient becomes tremulous and anxious. Which action by the nurse is most appropriate?
a. Insert an IV line and infuse fluids. b. Promote oral intake to 3000 mL/day. c. Provide a quiet, well-lit environment. d. Administer opioids to provide sedation.
Parents tell the nurse that their toddler daughter eats little at mealtime, only sits at the table with the family briefly, and wants snacks "all the time." Which intervention should the nurse recommend?
a. Give her nutritious snacks. b. Offer rewards for eating at mealtimes. c. Avoid snacks so she is hungry at mealtimes. d. Explain to her in a firm manner what is expected of her.