A client, scheduled for open-heart surgery, tells the nurse he does not want to be "saved" if he dies during surgery. What should the nurse do next?
A) Discuss with and document the wishes of the client and family
B) Administer the ordered oral and intravenous preoperative medications
C) Notify the physician after completion of the surgical procedure
D) Verbally report the client's wishes to the operating room supervisor
Ans: A
Advance directives allow the client to specify instructions for health care treatment if unable to communicate these wishes during or after surgery. It is important for the nurse to discuss and document exact do not resuscitate (DNR) wishes of the client and family before surgery.
You might also like to view...
The mother who has been breastfeeding her infant for 5 days asks if the baby's stools are normal. The nurse describes the normal breastfed stool as:
a. green and loose. b. dark green and sticky. c. pale yellow and frequent. d. bright yellow and pasty.
Unpredictable effects of some medications in which a patient overreacts or underreacts to a medication or has a reaction different from what is expected are known as:
a. medication allergies. b. anaphylactic reactions. c. medication interactions. d. idiosyncratic reactions.
During a home visit, the mother of a child with chronic pain is distraught because the child always seems to be uncomfortable despite receiving pain medication as prescribed
What should the nurse instruct the mother to do to help this child's pain? (Select all that apply.) A) Offer a back rub or other comfort measures. B) Stay with the child and offer love and support. C) Suggest the child learn to deal with the pain and grow up. D) Provide pain medication with a positive expectation that it will take the pain away. E) Ask the child what might help relieve the pain, such as extra pillows or a warm drink.
A history of overuse or excessive force, as opposed to a fall, hyperextension, or twisting of a joint, is more likely related to which musculoskeletal injury?
a. A sprain c. A partial fracture b. A strain d. A fracture