An 80-year-old female sustained a serious closed head injury following a fall. Family has decided to forgo placing the patient on mechanical ventilation and will not allow neurosurgery, electing to "let nature take its course." The nurse is very upset by this decision, thinking that the patient has a strong chance of a good quality of life following standard interventions. What nursing
interventions are indicated?
1. The nurse should try to persuade the family to allow treatment.
2. The nurse should be certain the family understands treatment options.
3. The nurse should transfer care to another nurse.
4. The nurse should ask the family to consider naming a legal guardian for the patient.
5. The nurse should contact hospital administration regarding legal action.
2, 3
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The nurse is providing discharge teaching for a patient prescribed prednisone to be taken on alternate days. The patient asks why he cannot take half a pill every day. What is the nurse's best response?
A) To eliminate adverse side effects B) To prolong therapeutic effects C) To prevent steroid tolerance D) To decrease adrenal suppression
Although some people with mental or emotional problems are unable or too discouraged to make decisions, most mental health clients
1. are capable of participating in some part of their care and treatment. 2. are unwilling to participate in some part of their care and treatment. 3. do not understand the need to participate in their care and treatment. 4. are incapable of participating in some part of their care and treatment.
A nurse is reviewing the pathophysiology that may underlie a patient's decreased bone density. What hormone should the nurse identify as inhibiting bone resorption and promoting bone formation?
A) Estrogen B) Parathyroid hormone (PTH) C) Calcitonin D) Progesterone
When interviewing a patient who is hearing impaired, the nurse should implement which approach?
a. Use clock hours to indicate the position of items in relation to the patient. b. Face the patient, and use nonverbal cues to supplement and reinforce messages. c. Ask simple questions that require yes or no answers. d. Speak loudly and slowly to facilitate lip reading.