A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral tube feedings. Which of the following actions should the nurse take?
Request the facility chaplain to visit the client.
Ask the client to sign an informed consent form.
Explain the process for completing a living will.
Complete an against medical advice form.
The Correct Answer is C
When caring for a client with terminal cancer who expresses a desire to discontinue enteral tube feedings, the nurse's priority is to ensure that the client's wishes are respected and appropriate steps are taken. The most suitable action is:
c) Explain the process for completing a living will.
A living will is a legal document that outlines a person's preferences regarding medical treatment in the event they are unable to communicate their wishes. In this situation, the client can express their desire to forgo enteral tube feedings through a living will, ensuring that their wishes are documented and legally recognized.
The other options may not be as appropriate:
a) Request the facility chaplain to visit the client: While spiritual and emotional support is important, the immediate concern is ensuring the client's autonomy in decision-making regarding medical interventions.
b) Ask the client to sign an informed consent form: Informed consent typically pertains to specific medical procedures, and discontinuing enteral tube feedings is more aligned with the broader context of advance care planning.
d) Complete an against medical advice form: This form is typically used when a patient refuses a recommended treatment against the medical team's advice. However, in this case, the client is expressing their own treatment preferences, and the focus should be on facilitating advance care planning and documentation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.Prenatal care is considered a secondary prevention activity because it involves early detection and intervention to prevent complications during pregnancy. Secondary prevention focuses on identifying and treating existing conditions in their early stages to prevent progression.
B.Smoking cessation meets the definition of primary prevention by reducing the risk of morbidity and premature mortality in asymptomatic people.
C.Referring a client who is already recovering from a substance use disorder is an example of tertiary prevention. Tertiary prevention focuses on helping individuals manage and rehabilitate after an illness or injury to prevent further deterioration and to improve their quality of life.
D.Advocating for laws to prevent texting while driving is a form of primary prevention, as it aims to prevent injuries and accidents before they occur by reducing a risk factor (distracted driving).
Correct Answer is A
Explanation
implementing a disaster triage plan with a local medical facility. Disaster preparedness efforts involve planning and coordinating actions to reduce the impact of a disaster on a community. One of the key components of disaster planning is triage, which is the process of sorting and prioritizing patients based on the severity of their injuries or illnesses. In the event of a disaster, the implementation of a disaster triage plan with a local medical facility is crucial to ensure that resources are allocated efficiently and effectively. The plan should include guidelines for identifying and prioritizing patients, allocating medical resources, and communicating with other agencies.
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