A nurse is caring for a client who is experiencing cardiac arrest and has a do-not-resuscitate (DNR) prescription. The client's partner requests medical intervention. Which of the following actions should the nurse take?

Have the client's partner sign a consent form to reverse the DNR prescription.

Begin chest compressions on the client.

Contact social services to confer with the client's partner.

Adhere to the client's treatment decision.

Answer and Explanation

The Correct Answer is D

A.   A DNR prescription is a legally binding document that reflects the client's wishes regarding resuscitation. The consent of the partner or any other individual cannot reverse or override this directive.
B.   Initiating chest compressions would be in violation of the DNR order. The DNR order indicates that the client does not want resuscitation efforts to be performed. Respecting the DNR order is crucial, as it reflects the client’s wishes regarding their end-of-life care.
C.   While involving social services may be appropriate to provide emotional support and address any family conflicts or concerns, it is not the immediate action needed in this critical situation. The immediate priority is to adhere to the DNR order, which is a legal directive that must be followed.
D.   The nurse must follow the DNR order, as it represents the client’s explicit wishes regarding their care
in the event of cardiac arrest. Adhering to the DNR is essential to respect the client’s autonomy and legal rights. The nurse should ensure that all actions are in compliance with the client’s documented wishes and provide support to the partner by explaining the situation and offering appropriate emotional support or referrals.

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Correct Answer is A

Explanation

A. Using sterile forceps to pack the wound helps maintain the sterility of the field by preventing contact with non-sterile surfaces. This action minimizes the risk of contaminating the wound with microorganisms, which can lead to infection.
B. This action does not maintain sterile technique. Once the sterile gown is donned, the back should not be touched, as this can contaminate the sterile field.
C. This is not recommended. Sterile fields should be set up as close to the time of the procedure as possible to minimize the risk of contamination.
D. This is not recommended. Sterile gauze should be placed within 1 inch of the edge of a sterile drape to prevent contamination from the non-sterile area.

A. "You should file a written complaint with hospital administration." B. “I think you have a right to be upset. I am tired of the changes, too." C. "Just stick with it a little longer. Things will get better soon." D. "So you are upset about all the changes on the unit?"

Correct Answer is D

Explanation

A. While filing a complaint could be an option for addressing serious issues, it might not be the most immediate or supportive response to the nurse’s expression of frustration. This response may come across as dismissive or as shifting the responsibility to the nurse rather than engaging in a dialogue to understand and address their concerns.

B. While acknowledging the nurse’s feelings is important, this response does not provide a constructive path forward. Simply agreeing with the nurse’s frustration without offering solutions or discussing ways to address the concerns does not help resolve the issues or support the nurse effectively.
C. This response might be perceived as dismissive and lacks a genuine engagement with the nurse's concerns. It does not acknowledge the validity of the nurse’s feelings or provide a concrete plan for addressing the issues. Encouraging the nurse to “stick with it” without addressing their concerns can lead to further frustration and may not address underlying problems.
D. This response is appropriate because it shows that the unit manager is actively listening and seeking to understand the nurse’s concerns more clearly. By asking a clarifying question, the manager invites the nurse to elaborate on their feelings and specific issues related to the changes.

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A nurse is caring for a client who is experiencing cardiac arrest and has a do-not-resuscitate (DNR) prescription. The client's partner requests medical intervention. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse preceptor is observing a newly hired nurse perform a sterile dressing change. Which of the following actions should the nurse preceptor identify as maintaining sterile technique?

Correct Answer is A

Explanation

A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better. I'm going to quit." Which of the following responses by the unit manager is appropriate?

Correct Answer is D

Explanation

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