An older adult male who is in his early 70's is admitted to the emergency department because of a COPD exacerbation. The client is struggling to breathe and the healthcare team is preparing for endotracheal intubation. The spouse's wile, who is 30 years younger than the client, asks the nurse to stop the procedure and provides the nurse a copy of the client's living will. Which action should the nurse take?

Alert the nursing staff of the client's do not resuscitate status.

Notify the healthcare provider of the client's wishes.

Place a certified copy of the living will in the client's record.

Facilitate a family meeting with the palliative care team.

Answer and Explanation

The Correct Answer is B

A. While the nursing staff should be aware of the DNR status, the immediate concern is the client's expressed wishes regarding treatment.

B. Notifying the healthcare provider is essential so that the medical team can respect the client’s wishes, especially in an acute situation where life-saving measures are being discussed.

C. Placing a certified copy of the living will in the record is important, but it should be done after informing the healthcare provider.

D. Facilitating a family meeting may be helpful, but the priority is to communicate the client's wishes to the medical team immediately.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["A","B","D","F"]

Explanation

A. Clenched fists can indicate discomfort or pain in infants, suggesting the need for pain management.

B. Restlessness is often a sign of pain or discomfort in infants and requires assessment for pain relief.

C. Peripheral pallor can indicate other issues such as shock or anemia but is not a direct indicator of pain.

D. An increased respiratory rate can be a response to pain or distress, indicating the child may need pain medication.

E. An increased temperature could indicate infection or inflammation, but it is not a direct indicator of pain requiring medication.

F. An increased pulse rate may indicate pain or anxiety and should be considered in the context of the child's overall assessment.

A. Hematocrit. B. Neutrophil count. C. Serum blood glucose (BG) level. D. Serum albumin.

Correct Answer is B

Explanation

A. Hematocrit levels provide information about hydration status and blood volume but are not directly related to infection or immune response.

B. The neutrophil count is crucial in assessing the body's response to infection; elevated levels would indicate an ongoing infection, which is relevant in the presence of purulent drainage.

C. Serum blood glucose levels are important for overall health, especially in diabetic patients, but they do not provide immediate information about infection status.

D. Serum albumin is a measure of nutritional status and can indicate healing capacity, but it does not directly assess the presence or severity of infection.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a 3-month-old client who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? Select all that apply.

Correct Answer is ["A","B","D","F"]

Explanation

While caring for a client with a full thickness burn covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

Correct Answer is B

Explanation

The nurse is teaching dietary modifications to a client with hypertension. Which product is the best selection to include as part of the client's lunch?

The parent of a 7-month-old brings the infant to the clinic because the skin in the diaper area is excoriated and red, but there are no blisters or bleeding. The parent reports no evidence of watery stools. Which nursing intervention should the nurse implement?

Exhibits Which client statement(s) require(s) follow up teaching by the nurse? Select all that apply.

After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The family wish to see the body before it is taken to the funeral home. Which intervention(s) should the nurse take to prepare the body before the family enters the room? Select all that apply.

The nurse is preparing a client for an outpatient thoracentesis. Which statement made by the client should the nurse recognize as needing additional education?

Exhibits For each assessment finding, click to indicate whether the findings from the client's assessment are generally associated with rotator cuff injury and humeral fracture. Each column must have at least one response selected.

Exhibits Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. Based on the client's condition, the priority need will be to address . In addition, he will need interventions to prevent .