A nurse is caring for a client who is receiving palliative care and wants to make sure they document their wishes for end-of-life care. Which of the following should the nurse assist the client with completing?

Durable medical power of attorney

Do-not-resuscitate prescription

Organ donation card

A living will

Answer and Explanation

The Correct Answer is D

A. A durable medical power of attorney designates a trusted person to make healthcare decisions on behalf of the client if they become unable to do so. While important, it focuses on decision-making authority rather than specific treatment preferences.

B. A do-not-resuscitate (DNR) prescription specifically addresses whether resuscitation efforts should be initiated but does not cover broader end-of-life care preferences or wishes. It is one component of advance care planning but not the comprehensive document for overall wishes.

C. An organ donation card expresses the client’s wishes regarding donation of organs after death. Although valuable, it does not address broader end-of-life care decisions or treatments.

D. A living will is a legal document that details the client’s preferences for end-of-life care, including treatments they want to accept or refuse. It ensures that their wishes are honored when they cannot communicate, making it the most appropriate document for this purpose.

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Correct Answer is B

Explanation

A. Weighing every other day is insufficient for heart failure management. Daily weight monitoring is essential to detect fluid retention early, as even small increases can indicate worsening heart failure and the need for medication adjustment.

B. Walking three or more times a week helps improve cardiovascular health and endurance without overexerting the heart. Regular, moderate exercise is recommended for heart failure clients to support functional status and prevent deconditioning.

C. Drinking 2.5 to 3 liters of water daily can lead to fluid overload in heart failure patients. These clients often require fluid restrictions to prevent worsening symptoms such as edema and shortness of breath due to impaired cardiac function.

D. Including whole milk with each meal increases saturated fat intake, which can worsen heart health. Low-fat dairy options are better suited for individuals with heart failure to manage cholesterol and cardiovascular risk.

A. Refer the clients for financial assistance to receive medications B. Arrange for the clients to see a health care provider. C. Provide teaching about hand washing for the clients. D. Obtain an individual client exposure history.

Correct Answer is D

Explanation

A. Refer the clients for financial assistance to receive medications: While financial support is important for accessing treatment, it is not the immediate priority during an active outbreak. The nurse must first assess the scope and potential cause of the diarrhea to prevent further spread and guide appropriate interventions.

B. Arrange for the clients to see a health care provider: Medical evaluation is essential, especially if symptoms worsen or complications arise. However, this step should follow a thorough assessment of exposure to identify patterns, potential sources, and the need for urgent containment or broader screening efforts.

C. Provide teaching about hand washing for the clients: Hand hygiene is critical in preventing the transmission of infectious diarrhea. However, client education should come after identifying the exposure route to ensure teaching is targeted and effective in addressing the specific mode of transmission.

D. Obtain an individual client exposure history: The nurse’s first priority should be to gather detailed information about each client's symptoms, recent meals, travel, and contacts. This assessment helps identify common exposures, guides immediate containment efforts, and directs appropriate medical or public health responses to control a potential outbreak.

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A nurse is caring for a client who is receiving palliative care and wants to make sure they document their wishes for end-of-life care. Which of the following should the nurse assist the client with completing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning an educational program at a local senior center for older adult clients who have heart failure. Which of the following Instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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