A Do Not Resuscitate (DNR) order means that
A. you should not disturb the patient for any reason.
B. the patient should not be given food or fluids.
C. CPR should not be started in the event of cardiac arrest.
D. the patient will be donating his organs for transplant.
Answer: C
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An infant has poor feeding, fever, and malodorous urine. The parents do not want the nurse to catheterize the child. Which response by the nurse is the most appropriate?
A. Apply a urine collection bag on the baby. B. Explain how this procedure obtains the best results. C. Give the baby acetaminophen (Tylenol) for fever. D. Inform the health-care provider of the refusal.
After a forceps-assisted birth, the mother is observed to have continuous bright red lochia but a firm fundus. What other data would indicate the presence of a potential vaginal wall hematoma?
a. Mild, intermittent perineal pain b. Edema and discoloration of the labia and perineum c. Lack of an episiotomy d. Lack of pain in the perineal area
An older patient is refusing to receive the influenza and pneumococcal vaccinations because he believes he is "too old." How should the nurse respond to this patient?
1. "I understand your feelings." 2. "I will report your concerns to the physician." 3. "You are likely to get sick if you do not take the vaccines." 4. "It is never too late in life to begin health promotion activities."
The nurse is completing a heritage assessment with an older patient from a non-English-speaking culture. Which question would not be a part of this assessment?
1. Where was your mother born? 2. Did you live in an extended family? 3. Where did your father go to school? 4. Do you belong to a religious institution?