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 C

Explanation

A. Adding Dextrose to a TPN solution may not be appropriate for the immediate management of insulin shock.
B. Mixing the Dextrose in a piggyback solution may dilute the concentration and delay the delivery of glucose, which is not ideal in the acute management of insulin shock.
C. Pushing the undiluted Dextrose slowly through the currently infusing IV allows for rapid administration of glucose to address the hypoglycemia associated with insulin shock.
D. Diluting the Dextrose in a liter of Normal Saline solution would significantly reduce the concentration and delay the delivery of glucose, which is not desirable in the acute management of insulin shock.

A. Provide bedside equipment for transmission and protective precautions. B. Evaluate daily serum electrolytes and hydration status. C. Culture sputum, urine, burn wound, and all intravenous access sites. D. Implement central line-associated bloodstream infection.

Correct Answer is C

Explanation

A. Provide bedside equipment for transmission and protective precautions: While infection control precautions are important, obtaining cultures to identify the source of infection and guide treatment is the priority in this scenario.

B. Evaluate daily serum electrolytes and hydration status: While monitoring electrolytes and hydration is important in critically ill patients, it is not the priority in this situation where the client is presenting with signs of systemic infection.

C. Culture sputum, urine, burn wound, and all intravenous access sites: The priority is to obtain cultures to identify the source of infection, which will guide antibiotic therapy and other

interventions.

D. Implement central line-associated bloodstream infection: While preventing central line- associated bloodstream infection is important, it is not the priority in this situation where the client is presenting with signs of systemic infection.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a 50 mL dose of 50% Dextrose IV for a client with insulin shock. How should the nurse administer the medication?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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