A nurse is educating a terminally ill patient about declining resuscitation in a living will.
The patient asks, “What would happen if I arrived at the emergency department and I had difficulty breathing?” Which of the following responses should the nurse make?

“We would give you oxygen through a tube in your nose.”.

“You would be unable to change your previous wishes about your care.”.

“We would insert a breathing tube while we evaluate your condition.”.

“We would consult the person appointed by your health care proxy to make decisions.”. .

Answer and Explanation

The Correct Answer is A

Choice A rationale

If a patient with a living will arrived at the emergency department with difficulty breathing, the healthcare team would provide immediate care to ease the patient’s distress, such as administering oxygen.

Choice B rationale

While a living will outlines a patient’s wishes for end-of-life care, it does not prevent the patient from receiving immediate, necessary care in an emergency situation.

Choice C rationale

Inserting a breathing tube may be necessary in some cases, but it would not be the first step in managing difficulty breathing.

Choice D rationale

While the healthcare team would consult the person appointed by the patient’s healthcare proxy to make decisions, immediate care would not be delayed.

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Correct Answer is B

Explanation

Choice A rationale

Using an extension cord to watch television in the living room does not indicate effective learning about using a walker. Extension cords can create a tripping hazard, which is particularly dangerous for someone using a walker.

Choice B rationale

Hiring someone to trim the tree that overhangs the front porch stairs indicates an understanding of the need to remove potential obstacles that could interfere with the safe use of the walker.

Choice C rationale

Placing the alarm clock on the bedroom dresser does not demonstrate an understanding of how to use a walker safely. It does not address any of the key safety considerations associated with walker use.

Choice D rationale

Replacing the old throw rug in the kitchen with a new one does not necessarily indicate effective learning about using a walker. Throw rugs can be a tripping hazard for individuals using a walker, regardless of whether they are old or new.

A. “Beginning at age 60, you should have a colonoscopy.”. B. “You should have a fecal occult blood test every year.”. C. “The recommendation is to have a sigmoidoscopy every 10 years.”. D. “We’ll get a blood sample from you and send it for a screening test.”.

Correct Answer is B

Explanation

Choice A rationale

While colonoscopy is a screening method for colon cancer, it is not typically recommended to begin at age 60 for individuals at average risk. Instead, colonoscopy screening is usually recommended to begin at age 50 and continue every 10 years if no polyps are found.

Choice B rationale

The recommendation for an average risk individual for colon cancer is to have a fecal occult blood test every year. This test checks for hidden blood in the stool, which can be an early sign of cancer.

Choice C rationale

Sigmoidoscopy every 10 years is another screening option for colon cancer. However, it only examines the rectum and lower third of the colon, whereas a colonoscopy examines the entire colon.

Choice D rationale

Blood tests are not typically used as a primary screening method for colon cancer. They may be used in conjunction with other tests, but a blood sample alone is not sufficient for screening.

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A nurse is educating a terminally ill patient about declining resuscitation in a living will.The patient asks, “What would happen if I arrived at the emergency department and I had difficulty breathing?” Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a patient who will be using a walker.Which of the following statements by the patient indicates that the teaching has been effective?

Correct Answer is B

Explanation

A nurse in a clinic is caring for a middle-aged patient who states, “The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening.What does that involve?” Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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A nurse is educating a terminally ill patient about declining resuscitation in a living will.
The patient asks, “What would happen if I arrived at the emergency department and I had difficulty breathing?” Which of the following responses should the nurse make?