The nurse will derive plans for a client knowing that the client's living will gives valid direction to
health care givers when the client has
a. Alzheimer's disease.
b. Parkinson's disease.
c. multiple sclerosis and is unable to speak.
d. terminal carcinoma and is incapacitated.
D
Living wills are invoked only in cases of terminal illness.
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A baby is born with bladder exstrophy. Immediate care for this infant will include which intervention?
1. Measuring intake and output 2. Inserting a Foley catheter 3. Covering the defect with sterile plastic wrap 4. Palpating the bladder mass to ensure urine is expelled
What order for a digitalizing dose of digoxin (Lanoxin) for a 62-year-old man would the nurse consider appropriate and safe to administer?
A) 1.25 mg IV now B) 0.75 mg orally now C) 0.25 mg orally every day D) 1 mg intramuscularly every 4 hours × 24 hours
Bronchiectasis is now considered a pulmonary disease separate and apart from COPD. Bronchiectasis can be caused by a variety of conditions, including what? (Mark all that apply.)
A) Pulmonary hypertension B) Airway obstruction C) Pulmonary infections D) Genetic disorders E) Atelectasis
An elderly patient receiving an infusion of an isotonic fluid at 100 mL/hr complains of dyspnea. The nurse notes shallow rapid respirations and a cough that produces frothy sputum. Which is the priority nursing action?
a. Assess the urine output. b. Elevate the head of the bed. c. Encourage the patient to cough. d. Maintain the IV rate.