The patient has decided that he would like to create an advance directive. The nurse is asked if she would be a witness. The nurse should:
a. Agree to be a witness
b. Refuse to be a witness
c. Contact social work
d. Contact the physician
C
A social worker often fulfills this requirement. Witnesses for an advance directive document should not be medical personnel, and direct refusal does not meet the nurse's obligation to meet the patient's needs. Referral to a department that can ensure this service is required.
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A patient who is critically ill is attached to a saturation of mixed venous oxygen monitor (SvO2) and has an SvO2 value that is trending downward and is currently below normal at 55%. What clinical abnormality should the nurse suspect?
A) Increased cardiac output B) Fever and shivering C) Fluid volume overload D) Oversedation
The patient is taking ifosfamide as part of his or her cancer treatment. Mesna (Mesnex) is added to the treatment regimen to prevent cystitis induced by the ifosfamide. The nurse explains that mesna works by what action?
A) By increasing urine output B) By shielding the kidney from ifosfamide C) By increasing white blood cell production D) By combining with a metabolite of ifosfamide
The LPN is assigning clients on a rehabilitation unit. Which of the following nursing actions should the LPN complete prior to assigning any delegated task?
A) Complete nursing report B) Review physician notes C) Assess the clients D) Obtain feedback from the CNA
Calculate the absolute neutrophil count for a child with a WBC = 15,000/mm3, neutrophils = 29%, and nonsegmented neutrophils (bands) = 29%. Record your answer in a whole number
_____________