A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, what priority action should the nurse implement)
The client's need for pain medication should be determined.
The nurse manager should be updated on the client's status
The client's status should be conveyed to the chaplain.
The impending signs of death should be documented
The Correct Answer is A
A. Determining the client's need for pain medication is a priority to ensure comfort and manage symptoms as the client approaches end of life.
B. Updating the nurse manager on the client's status is important, but it is not the priority action in terms of direct client care.
C. Conveying the client's status to the chaplain may be part of holistic care, but the immediate physical needs of the client take precedence.
D. Documenting the impending signs of death is essential for medical records, but addressing the client's comfort needs is the priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A moderate amount of foul-smelling lochia can indicate an infection, especially if accompanied by other signs such as fever or abdominal pain.
B. Blood pressure within normal range is not indicative of postpartum infection.
C. While an elevated temperature can be a sign of infection, it's not specific enough on its own.
D. A high white blood count can indicate infection, but it's not as specific as the presence of foul-smelling lochia in the postpartum period.
Correct Answer is ["4"]
Explanation
1kg=2.2 pounds
44pounds= 44/2.2= 20kg
Desired dose= 2mg/kg= 220= 40mg
Available formulation= 10mg/ml
Dose to administer= desired dose/ formulation= 40/10= 4 ml
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