The daughter of a terminally ill patient questions the placement of her father on the medical surgical care unit. The patient in question is in the final stages of the disease process. She requests he be placed in the intensive care unit
She reports concerns that her father may not receive the close observation on such a busy hospital unit. Which of the following actions is indicated by the nurse? 1. Contact the physician.
2. Notify the intensive care unit of an impending transfer.
3. Attempt to move the patient to a less busy unit.
4. Discuss the care that can be provided on the unit with the family member.
4
Rationale: Movement of a terminally ill patient is likely not the best use of available resources. Discussing the care that can be offered to the patient is the best initial course of action. It is still too early in the management of the problem to contact the physician. The nurse does not have the authority to transfer the patient to the intensive care unit or to a less busy unit.
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