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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Support stockings may help with peripheral edema, but they do not address the underlying issue of hypoalbuminemia and its consequences.
B. Adequate protein intake is crucial for increasing serum albumin levels, which can help reduce edema and improve the client's nutritional status. This intervention addresses the root cause of
the client's symptoms.

C. Evaluating the patency of the AV graft is important for long-term planning of hemodialysis access, but it is not the immediate priority given the client's current nutritional status and symptoms.
D. Fluid restriction is important in managing peritoneal dialysis patients, but it does not address the immediate concern of hypoalbuminemia and its effects on the client's health.

A. Low-fat dairy products. B. Fresh fruits and vegetables. C. Iron-rich meals. D. Water and herbal teas.

Correct Answer is A

Explanation

A. Low-fat dairy products: Dairy products such as milk, yogurt, and cheese are rich sources of calcium, which is essential for bone health and can help prevent osteoporosis, especially in older adults.

B. Fresh fruits and vegetables: While fruits and vegetables are important for overall health, they do not provide significant amounts of calcium, which is the primary nutrient needed for preventing osteoporosis.

C. Iron-rich meals: Iron-rich meals are important for preventing anemia but do not directly contribute to bone health and prevention of osteoporosis.

D. Water and herbal teas: While hydration is important for overall health, water and herbal teas do not provide significant amounts of calcium needed for bone health.

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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)

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Correct Answer is B

Explanation

The nurse is teaching an older client about the prevention of osteoporosis. Which foods should the nurse recommend to the client to increase in the diet?

Correct Answer is A

Explanation

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