An older adult client with heart failure has a signed do not resuscitate (DNR) form to put in the medical record. The unlicensed assistive personnel (UAP) reports that the client is not breathing, and the nurse confirms the UAP's findings. Which action should the nurse take next?
Begin cardiopulmonary resuscitation (CPR) and call a code.
Ask the UAP to complete postmortem care.
Notify the family of the client's death.
Report client's status to the healthcare provider.
The Correct Answer is D
D. The healthcare provider is mandated to perform a examination of the client and confirm death before any announcements to the family.
A. The DNR order indicates that the client has chosen not to receive CPR, so beginning resuscitation would go against their wishes.
B. Postmortem care is typically performed after the healthcare provider has pronounced the death
C. notifying the family is usually done after the healthcare provider has been informed and death has been confirmed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Starting with less sensitive questions allows the nurse to establish rapport with the client and create a comfortable environment before addressing more sensitive topics. This approach helps build trust and encourages the client to open up about their concerns regarding sexual activity.
A. Sharing personal values may not be appropriate as it could potentially introduce bias or make the client feel uncomfortable if their values differ from those of the nurse.
B. Asking vague or nonspecific questions may result in incomplete or unclear information from the client, leading to ineffective assessment and care planning.
C. Starting with the most difficult questions may cause the client to feel overwhelmed or defensive, hindering open communication.
Correct Answer is B
Explanation
A. Assault and battery involve intentional harmful or offensive contact with another person without their consent. Criminal assault is the threat of harm, while battery is the actual physical contact.
In this scenario, the nurse's actions were aimed at providing assistance to the victim, not causing harm. Therefore, criminal assault and battery would not apply.
B. Good Samaritan immunity protects individuals who provide assistance in emergency situations from liability for any injuries or damages that may occur as a result of their actions, as long as they act in good faith and without expectation of compensation. In this scenario, the nurse stopped to provide assistance voluntarily and acted in the victim's best interest. Good Samaritan immunity would likely apply in this situation, protecting the nurse from liability for any unintended consequences of their actions.
C. In this scenario, if the nurse failed to provide necessary care or took actions that deviated from the standard of care expected in similar circumstances, it could be considered negligent. However, the specific concern in this scenario is more aligned with abandonment of the victim rather than negligent acts of omission.
D. Abandonment occurs when a healthcare provider discontinues care without ensuring that the patient's needs are met or transferring care to another qualified individual. In this scenario, the nurse reported the victim's condition to EMS before leaving the scene. The nurse did not abandon the victim as they ensured that the victim received ongoing care from EMS.
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