The critical care nurse wants a better understanding of when to initiate an ethics consult. After attending an educational program, she understands that the following situation would require an ethics consultation:
a. Conflict has occurred between the physician and family regarding treatment decisions. A family conference is held, and the family and physician agree to a treatment plan that includes aggressive treatment for 24 hours followed by re-evaluation.
b. Family members disagree as to a patient's course of treatment. The patient has designated a healthcare proxy and has a written advance directive.
c. Patient postoperative coronary artery bypass surgery who sustained a cardiopulmonary arrest in the operating room. He was successfully resuscitated, but now is not responding to treatment. He has a written advance directive and his wife is present.
d. Patient with multiple trauma and is not responding to treatment. No family members are known, and care is considered futile.
D
In the case of a seriously ill patient who is incapacitated and does not have a surrogate, an ethics consultation is warranted. The conflict has been resolved in the case of the family and physician agreeing on a course of treatment for 24 hours followed by re-evaluation. Although family members disagree, if a patient has a written advance directive and a designated healthcare proxy, an ethics consultation is not warranted; the patient's wishes are clearly known. The cardiac surgery patient has a written directive to guide his treatment.
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During the assessment, the family nurse therapist inquires about weaknesses regarding learning the client may have
The client becomes defensive and states, "You sure are nosy!" Smiling, the nurse states, "I don't mean to seem nosy, but I must ask these questions to develop a plan that will work for you." The nurse's therapeutic response is an attempt to ascertain: Standard Text: Select all that apply. 1. How the client interacts with family members. 2. Anecdotes from family and friends. 3. The psychiatrist's progress notes. 4. Specific factors that have interfered with the success of a goal.
A neutropenic child is admitted to the hospital and placed in protective isolation. Which instruction does the nurse give the family to help maintain a safe environment for the child?
A. Do not let the child have chewing gum B. Flowers, plants, and produce are not allowed C. The child can only have one visitor at a time D. Toys and items from home cannot be brought in
The staff educator is precepting a nurse new to the critical care unit when a patient with a T2 spinal cord injury is admitted. The patient is soon exhibiting manifestations of neurogenic shock
In addition to monitoring the patient closely, what would be the nurse's most appropriate action? A) Prepare to transfuse packed red blood cells. B) Prepare for interventions to increase the patient's BP. C) Place the patient in the Trendelenberg position. D) Prepare an ice bath to lower core body temperature.
When administering intravenous fluids and other fluids to hydrate clients with a diagnosis of alcoholism, which of the following supplements must be given to prevent neurological damage?
a. vitamin A b. zinc c. thiamine d. magnesium