The nurse is caring for 80-year-old patient who has been treated for gastrointestinal bleeding. The family has agreed to withhold or withdraw additional treatment. The patient has a written advance directive specifying requests
The directive notes that the patient wants food and fluid to be continued. The nurse anticipates that several orders may be written to comply with this request, including which of the following? (Select all that apply.) a. "Do not resuscitate."
b. Change antibiotic to a less expensive medication.
c. Discontinue tube feeding.
d. Stop any further blood transfusions.
A, D
All orders except antibiotic adjustment may be considered withdrawal or withholding of life support and should be written only after informed consent from the healthcare surrogate or family has been obtained. Because the patient has expressed a request to not have food or fluids withdrawn, it would not be appropriate for the physician to write an order to discontinue the tube feeding.
You might also like to view...
A male elder who wears a hearing aid waits in the radiology department. The department is busy and noisy, so the nurse asks the patient if he wants to wait or reschedule the ap-pointment
Which is the most important strategy for the nurse to implement for effective communication with this man? a. Face the man while sitting at his level. b. Speak to him in a private, quiet setting. c. Verify that the information is understood. d. Ask if hearing is better in one ear or another.
Phenytoin (Dilantin) is prescribed for a patient with seizures. You know that this drug is gradually increased to achieve a desired level. The patient is taught that maintenance doses for this medication are typically:
1. 50 mg to 75 mg daily. 2. 100 mg to 250 mg daily. 3. 300 mg to 400 mg daily. 4. 450 mg to 500 mg daily.
Neuman calls the process whereby energy moves toward evolution as a system absorbs energy to increase its organization, complexity, and development when it moves toward a steady or wellness state
A. Negentropy. B. Hypertrophy. C. Entropy. D. Dynatrophy.
A pt is very ill and is admitted to the intensive care unit with rapidly progressing glomerulonephritis. the nurse monitors the pt for manifestations of which organ system failure?
a. immune system b. cardiovascular system c. neurological system d. renal system