Nurses in which health care settings are required to comply with the Patient Self-Determination Act of 1991?
1. In home health care settings only if they have a validly executed advanced directive when care is first rendered
2. Solely in formal institutional settings, such as hospitals
3. In all health care settings, including home health care settings, if federal funds are received
4. In all health care settings except home health care settings
3
Rationale: This act requires that the facility inquire about advance directives. It is not limited to patients who have already executed these directives.
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A terminally ill older client with ongoing pain is prescribed an increased dose of morphine. What is the best way for the nurse to manage this new dose?
1. Ensure the client is medicated on schedule and when needed. 2. Continue the previous dose until the client exhibits increased pain. 3. Slowly increase the current dose until the new dose is achieved. 4. Hold the next dose if the client's respiratory rate decreases.
The patient's Wells score indicates intermediate risk for the development of pulmonary embolism. Which nursing interventions would help reduce this risk?
1. Monitor daily D-dimer levels. 2. Strictly measure all intake and output. 3. Encourage ambulation. 4. Instruct the patient on use of antiembolism stockings. 5. Prevention of leg injury
Risk of mortality in adults is lowest for those with a body mass index that is between
a. 15 and 20. b. 20 and 25. c. 25 and 30. d. 30 and 40.
When transferring a patient with one-sided paralysis, lead with the patient's weakest side
Indicate whether the statement is true or false