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.

Answer and Explanation

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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Correct Answer is A

Explanation

Explanation: Lyme disease is a reportable disease that requires notification to state and local health departments. The state health department is responsible for voluntary reporting of the cases to the Centers for Disease Control and Prevention (CDC). Health care providers, including nurses, are required by law to report certain communicable diseases, such as Lyme disease, to the state or local health department. The CDC uses these reports to track the spread of the disease, provide information to the public, and develop prevention and control strategies. The state health department also collaborates with the local health department and health care providers to conduct investigations and implement control measures to prevent the spread of the disease.

A. Perform a needs assessment. B. Inquire about the availability of volunteers. C. Identify alternative solutions to address concerns. D. Determine potential funding sources for the program.

Correct Answer is A

Explanation

The first step the nurse should take is to perform a needs assessment. This involves determining the specific needs of the older adults who will be served by the mobile meal program. The nurse should identify the target population and assess their nutritional needs, dietary restrictions, and food preferences. The nurse should also determine the availability of transportation for the delivery of meals and the potential need for volunteers. Once the needs assessment is complete, the nurse can begin to develop a plan for the program.

Inquiring about the availability of volunteers (choice B) and determining potential funding sources for the program (choice D) are important steps, but they should come after performing a needs assessment. Identifying alternative solutions (choice C) may be necessary at some point, but it is not the first step.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the Centers for Disease Control and Prevention?

Correct Answer is A

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Correct Answer is A

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