A nurse manager is participating in the care of a client.

Exhibits

Which of the following client statements indicate an understanding of the teaching?
Select all that apply.

"If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care."

"Once I choose a health care proxy, they will start making my health care decisions."

"I am required to complete these documents during my hospital stay."

"The hospital is legally required to provide me information on these documents."

"When completed, a copy of these documents will be kept in my medical record."

"These documents provide instructions about my care preferences."

Answer and Explanation

Correct Answer : A,D,E,F

A. "If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care.": Understanding that a DNR order means no resuscitation efforts, such as CPR, will be performed in the event of cardiac or respiratory arrest is crucial. This reflects the client’s autonomy in making end-of-life decisions and ensures their preferences are respected in critical situations.

B. "Once I choose a health care proxy, they will start making my health care decisions.": While selecting a health care proxy is an important step, they can only make decisions when the client is unable to do so. This means that the proxy’s authority to act is contingent upon the client’s capacity to communicate their wishes.

C. "I am required to complete these documents during my hospital stay.": Clients are encouraged to create advance directives, but there is no legal requirement to complete these documents while in the hospital. Clients have the right to determine the timing and circumstances under which they complete advance directives.

D. "The hospital is legally required to provide me information on these documents.": Hospitals have an obligation to inform clients about advance directives, ensuring they are aware of their rights and the options available for planning their medical care. This legal requirement promotes informed decision-making among clients.

E. "When completed, a copy of these documents will be kept in my medical record.": Storing advance directives in the medical record is essential for ensuring that healthcare providers have access to the client’s preferences regarding treatment. This practice helps to facilitate communication and adherence to the client’s wishes during their care.

F. "These documents provide instructions about my care preferences.": Advance directives outline a client’s preferences for medical treatment and interventions, ensuring that their values and wishes guide their care if they become unable to communicate those preferences. This helps healthcare providers understand and respect the client’s desires regarding their treatment.

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Correct Answer is C

Explanation

A. Trimethoprim-sulfamethoxazole: This antibiotic is commonly prescribed for treating urinary tract infections. There is typically no need to verify this prescription with the provider, as it is appropriate for the condition.

B. Hyoscyamine: Hyoscyamine is an anticholinergic that can be used to relieve urinary symptoms associated with UTIs, but it is not a first-line treatment for the infection itself. Verification may not be necessary unless there are specific concerns about the client's medical history or contraindications.

C. Oxybutynin: Oxybutynin is an anticholinergic medication used to treat overactive bladder by relaxing the bladder muscle. However, in clients with an active urinary tract infection (UTI), it can worsen urinary retention and delay clearance of the infection. It is not appropriate for managing UTI symptoms and may mask urinary urgency while contributing to incomplete bladder emptying, which increases the risk of complications. Therefore, the nurse should verify this prescription with the provider before administering.

D. Phenazopyridine: This is a urinary analgesic used to relieve burning and discomfort during urination with a UTI. It does not treat the infection, but helps with symptom management. It is safe for short-term use.

A. "Hospice care focuses on disease treatment and rehabilitation." B. "The provider will coordinate your health care needs while in hospice." C. "You must choose a home caregiver before being admitted into a hospice facility." D. "Hospice care continues to help families with grief after a death occurs."

Correct Answer is D

Explanation

A. "Hospice care focuses on disease treatment and rehabilitation": Hospice care prioritizes comfort and symptom management rather than curative treatments or rehabilitation. The focus is on improving quality of life for clients with terminal illnesses.

B. "The provider will coordinate your health care needs while in hospice": Hospice care is typically managed by an interdisciplinary team, including nurses, social workers, chaplains, and other specialists, rather than being solely coordinated by a provider. The team collaboratively addresses the client's needs.

C. "You must choose a home caregiver before being admitted into a hospice facility": Hospice care can be provided in various settings, including the client’s home, a dedicated hospice facility, or a hospital. While a home caregiver may be helpful for in-home care, it is not a requirement for admission into a hospice program.

D. "Hospice care continues to help families with grief after a death occurs": Bereavement support is a key component of hospice care, offering counseling, resources, and support groups to help families cope with loss after the client’s passing.

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A nurse manager is participating in the care of a client. Exhibits Which of the following client statements indicate an understanding of the teaching? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider?

Correct Answer is C

Explanation

A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and their family. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to their guardian's room. Which of the following actions should the nurse take?

A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention?

After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take?

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A county public health nurse is developing a list of interventions to address the three core functions of public health. Which of the following interventions should the nurse include as part of the assurance function?

A newly licensed nurse is giving a change-of-shift report using Introductions, Situation, Background, Assessment, Recommendation (ISBAR) to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report?

During an initial visit, a home health nurse is assessing a client who has cultural beliefs different than their own. Which of the following questions should the nurse ask to determine the client's beliefs about environmental control?

A nurse manager is participating in the care of a client.

Exhibits

Which of the following client statements indicate an understanding of the teaching?
Select all that apply.