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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is B
Explanation
B. Having the client demonstrate wound care allows the nurse to directly observe the client's understanding and competency in performing the necessary procedures. This method provides a practical assessment of the client's ability to carry out self-care tasks at home and allows for immediate feedback and correction if needed.
A. Providing written instructions in the client's native language is an effective way to communicate information, especially for clients with limited English proficiency. However, it may not fully assess the client's understanding of wound care
C. While having an interpreter repeat the wound care instructions can help ensure that the information is accurately communicated to the client, it does not directly assess the client's understanding or ability to perform the tasks.
D. Asking if the client understands after each instruction may not be reliable due to language barriers and the client's potential discomfort in admitting confusion or lack of understanding.
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