A patient asks what a do not resuscitate order means. What should the nurse explain to the patient?

a. "A DNR order means that you will not be placed on a ventilator if your heart stops and you require CPR."
b. "A DNR order means you will not be resuscitated if your heart stops, and that all therapeutic support will be withdrawn."
c. "A DNR order means that you will receive everything you need to remain comfortable, but you will not receive treatment that will prolong life."
d. "A DNR order means you will not be resuscitated if your heart stops; you can specify whether you still want treatment to prolong your life, or only care that keeps you comfortable."


ANS: D
DNR simply means do not resuscitate if a patient's heart stops. A. B. C. A DNR order does not direct care prior to death—type and extent of treatment prior to death is still determined by the patient.

Nursing

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Which of the following statements best conveys a characteristic of red blood cells?

A) They lack organelles and soluble enzymes. B) They contribute to the maintenance of blood pH. C) They help maintain the body's fluid balance. D) They are self-replicating.

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Ramandeep is an active 23-year-old. She works as a part-time nurse during the day and is studying for a postgraduate certificate in the evening

Ramandeep started to wear a bite plate at night after she began to experience jaw pain and headaches. Sometimes the pain radiated to her ear, and she would apply a hot water bottle to it to ease the discomfort. It was not until her husband mentioned to her that he heard her grinding her teeth at night while she was sleeping. She knew then that her headaches might be from temporomandibular joint syndrome, and she went to her dentist to confirm her thoughts. In addition to the bite plate, the dentist also recommended she should continue with the application of heat, use NSAIDs when needed, and incorporate regular relaxation exercises throughout her stressful days. What effect does heat have on nociceptors so that it makes a good nonpharmacologic treatment for pain? Heat and cold treatment are both hypothesized to have an effect on the release of endogenous opioids. What are these chemicals, and why are they hypothesized to be beneficial in the body? Using your knowledge of physiology, how do NSAID analgesics function in the management of pain?

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To what does resource management for nurses refer?

1. Licensure of RNs 2. Hiring of personnel 3. Evidence-based practice 4. Cost-effective approaches to quality care

Nursing

The office director of a medical practice has recommended that the advanced practice nurses bill for service under the name of one of the group's physicians. What is the probable rationale for this suggestion?

1. Patients are more likely to pay physician bills than nurse bills. 2. Typically physicians are reimbursed at a higher rate than ANPs. 3. Having a smaller number of names under which billing is submitted is more efficient. 4. Nurses are not permitted to bill government payers.

Nursing