The wife of a patient in the ICU says to the nurse, "I don't think my husband can get well. I wonder if we are doing the right thing keeping him on the breathing machine. Maybe we should just stop all of this. Would that be wrong?" Which responses by the nurse are indicated?

1. "I think you are correct. I will contact the medical team."
2. "Once we put a patient on the ventilator it is very complicated to stop the treatment."
3. "I'll schedule a conference with your husband's care team so we can talk about options for his care."
4. "When recovery is unlikely it is considered ethical to discontinue treatments."
5. "The decision to discontinue treatment is made by the physician team."


3, 4

Nursing

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The nurse asks a client, "Do you wear the clothes you wear at work to home?" This is an example of which subject on the exposure history?

A) Present work B) Past work C) Home/residence D) Concerns

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The nurse is caring for four clients and knows that which client is at the highest risk for falls?

A. An older adult client who is 2 days postoperative from a hip replacement, uses a walker to ambulate, and requires pain medication every 6 hours B. An older adult client who had a coronary artery stent placed three days ago C. An older adult client who is preparing for discharge and requires continued antibiotics D. An older adult client who was admitted yesterday for dehydration and is confused and sometimes combative

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"Working smarter" means

A) taking shortcuts to save time. B) skipping breaks to get more work done. C) mastering good organization and time management skills. D) focusing on completing individual tasks.

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A client is being transferred to a room from the postanesthesia care unit. Upon transfer, the nurse should:

A. Remove the indwelling urinary catheter B. Attach the nasogastric tube to suction C. Use a black pen to note the drainage on the dressing D. Change the dressing immediately when the client reaches the room

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