A patient in the ICU is a candidate for palliative care. The patient is a widower with several siblings and children, but no one has legal power of attorney. Which steps should be made as planning for palliative care progresses?
1. The oldest child should be designated as the primary decision maker.
2. The oldest of the patient's siblings should be designated as the primary decision maker.
3. A guardian, who may or may not be a family member, should be assigned.
4. The hospital's ethics committee should be consulted.
5. The patient's physician should be designated as the primary decision maker.
3, 4
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The nurse engaged in a therapeutic relationship with a client uses nonverbal communication to:
1. Enhance verbal messages. 2. Avoid the use of verbal messages. 3. Detract from verbal messages. 4. Terminate the therapeutic relationship.
Observing for elevation of the soft palate on phonation, the presence of a gag reflex, and the ability to swallow water are included in an assessment of which of the following?
a. vagus and hypoglossal nerves c. glossopharyngeal and vagus nerves b. facial and glossopharyngeal nerves d. cerebellar function
The nurse is caring for a client scheduled for a transrectal ultrasonography. Which instruction is essential in obtaining an accurate test?
A) Administer an enema prior to arrival. B) Administer a low-dose sedative prior to arrival. C) Avoids fluids after midnight. D) Empty the bladder prior to the exam.
A frail older client is being driven to the grocery store. Which aspect of safety prevention is most important for the nurse to stress to this client?
a. Tell the client to change positions slowly. b. Move the client's seat at least 10 inches from the air bag. c. Tell the client to ride in the motorized grocery cart. d. Explain how good the sunshine is for the client.