The family of a dying patient in the intensive care unit does not want a "do not attempt resuscitation" order
What can the nurse do to assist the family in seeing the value of this order? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Explain that other medical interventions will not be stopped.
2. Explain that comfort is the goal instead of a cure.
3. Explain that the patient will not receive less care.
4. Explain that the patient will be transferred out of the intensive care unit soon.
5. Explain that all medical care will be restricted going forward.
1,3
Rationale 1: Nurses should emphasize to patients and families that consent to a DNAR order does not imply consent to limit other medical interventions.
Rationale 2: Nurses should emphasize to patients and families that consent to a DNAR order does not imply a decision to switch to a goal of comfort rather than cure.
Rationale 3: Consenting to a DNAR does not imply that the patient will receive less care.
Rationale 4: Consenting to a DNAR order does not mean that the patient will be transferred out of the intensive care unit.
Rationale 5: Consenting to a DNAR order does not mean that all medical care will be restricted going forward.
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A community health nurse is planning a depression screening clinic for those members of the community who are statistically most likely to experience depression. Which of the following statements regarding depression and gender is correct?
A) Depressive disorders are more common in men than in women. B) Depressive disorders are more common in women than in men. C) Depressive disorders equally affect men and women. D) Depressive disorders affect young men more than older women.
Several staff nurses are talking about liability insurance at the nurse's desk. Which statement, made by the nurses, reflects an understanding of the purpose of liability insurance?
1. "I was told that the hospital carries liability insurance on its employees, so I don't need to carry my own policy." 2. "I have not gotten insurance because doctors and hospitals get sued more than nurses." 3. "I am a good nurse, and practice safely, so I don't need liability insurance." 4. "I carry my own liability insurance because hospitals can countersue nurses."
An emergency room nurse assesses a client after a motor vehicle crash. The nurse notices a "steering wheel mark" across the client's chest. Which action should the nurse take?
a. Ask the client where in the car he or she was sitting during the crash. b. Assess the client by gently palpating the abdomen for tenderness. c. Notify the laboratory to draw blood for blood type and crossmatch. d. Place the client on the stretcher in reverse Trendelenburg position.
The patient is receiving a histamine-blocking agent to prevent stress ulcers. What is the most important adverse effect that the nurse expects?
A) Positive gastrointestinal guaiac B) Reduced chemical barrier immunity C) Absence of gastric discomfort D) Decrease in gastric pH