The nurse is caring for a critically ill patient with terminal cancer. The monitor alarms and shows ventricular tachycardia. The patient does not have a "do not resuscitate" order written on the chart. What is the appropriate nursing action?
a. Contact the attending physician immediately to determine if CPR should be initiated.
b. Contact the family immediately to determine if they want CPR to be started.
c. Give emergency medications but withhold intubation.
d. Initiate CPR and call a code.
D
Because no orders have been written, it is imperative that a code be called. In this example, decisions regarding resuscitation status should be determined as soon as possible before a code event. The physician and family should be contacted immediately to determine treatment options, but CPR is not withheld. It is not appropriate to conduct a "partial" code by giving medications only.
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Group ?like activities? to maximize the limited time to attend to them
1. Restocking the medication cart 2. Ordering stock medications from the pharmacy 3. Calling for extra linen from laundry 4. Making sure clients have adequate linens 5. E-mailing a colleague a question about the schedule 6. Searching the Internet for an unfamiliar client diagnosis
A client with rheumatoid arthritis informs the nurse that since he has been in remission and not having any symptoms, he doesn't need to take his medication any longer. What is the best response by the nurse?
A) "If you don't take your medication, you will become very ill." B) "Be sure to let the physician know after you stop your medications." C) "It is important that you continue to take your medication to avoid an acute exacerbation." D) "As long as you are not having symptoms, you can take a medication vacation."
A nurse is teaching a diabetic education class. One of the patients asks, "What can I do to prevent going blind due to my diabetes?" What is the best response by the nurse?
1. "The risk of developing blindness is related to how long you've had diabetes, and how well your blood sugar and hypertension are controlled.". 2. "Diabetic retinopathy is caused by changes in the small blood vessels of the eye.". 3. "This is only a problem with type 2 diabetes, so you won't have this problem.". 4. "Laser photocoagulation surgery will treat any problems that develop and cure the diabetic retinopathy.".
The nurse is discussing with the nutrition class which dietary supplements older adults need to take. Which supplement is needed by older adults?
A) Vitamin B6 B) Vitamin K C) Vitamin D D) Niacin