Which of the following is the best example of moral distress?
A) A patient's family has decided to end mechanical ventilation of the patient, but the nurse has trouble implementing their decision.
B) A patient's family has decided to continue mechanical ventilation for the patient, but the nurse disagrees and discontinues the ventilation on her own initiative.
C) A patient's family has decided to end mechanical ventilation of the patient, and the nurse implements their decision but later feels guilty.
D) A patient's family has decided to continue mechanical ventilation for the patient, and the nurse implements their decision, although she disagrees with it.
A
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The rate of energy use in the body, which is expressed in calories, is called:
a. basal metabolism c. megametabolism b. metabolic rate d. nutrition
An older patient with a black eye is diagnosed with a broken arm that is reported as being caused by falling on a shovel while clearing snow from a walkway. Why should the nurse suspect physical abuse with this patient?
1. The patient is confused. 2. The patient is 65 years old. 3. The patient is African American. 4. The patient's testing results are inconsistent with the history given.
Which patient would the nurse expect to have the least amount of body fluid?
1. A 75-year-old woman with a body mass index (BMI) in the obese range 2. A 23-year-old female with history of type 1 diabetes 3. A 72-year-old male who had a myocardial infarction at age 50 4. A 16-year-old male who plays football on his high school team
The nurse is teaching a group of older adults about thyroid hormone replacement
The nurse realizes teaching has been ineffective when one participant states that older adults may be at risk for too much thyroid medication in their blood because of which factor? 1. high blood lipid levels 2. less albumin in the blood to bind to thyroid medication 3. kidney alterations that make the organs less efficient at removing medications from the blood 4. polypharmacy, leading to problems with medication dosing and administration