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 ["45"]
Explanation
Desired rate= 3mcg/min
Desired rate per hour= 3mcg60= 180mcg Available dose= 4mg/1000ml 1mg=1000mcg
4mg= 41000=4000mcg
4000mcg=1000ml 180mcg= 1801000/4000
=45 ml/hr
Correct Answer is ["A","C"]
Explanation
A. Family health history: A comprehensive family health history is crucial as it can reveal a pattern of certain diseases within a family. The client's parents both had heart disease, and his father had diabetes, which significantly increases the client's risk for these conditions.
B. Homosexual Lifestyle: This is not a risk factor for heart disease. Sexual orientation does not inherently increase the risk of heart disease. The inclusion of this option reflects a common misconception and is not medically relevant.
C. History of hypertension: Even though the client's blood pressure is currently managed with atenolol, a history of hypertension is a significant risk factor for heart disease. It's important to explore the duration and control of hypertension over time.
D. Vegetarian diet: Generally, a vegetarian diet is associated with lower risk factors for heart disease, such as reduced blood pressure and lower cholesterol levels. However, it's important to ensure that the diet is well-balanced and includes all necessary nutrients.
E.While exercise is generally beneficial for heart health, it is possible to overdo it. However, the client's episode occurred during jogging, which is typically a moderate form of exercise. Unless the client is engaging in extreme levels of exercise, this is unlikely to be a significant risk factor.
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