client scheduled for open heart surgery tells the nurse he does not want to be "saved" if he dies during surgery. What should the nurse do next?

Notify the health care provider after completion of the surgical procedure.

Administer the ordered oral and intravenous preoperative medications.

Discuss with and document the wishes of the client and family.

Verbally report the client's wishes to the operating room supervisor.

Answer and Explanation

The Correct Answer is C

A. Notifying the provider only after surgery misses the opportunity to clarify and honor the client’s wishes beforehand.
B. Administering preoperative medications without addressing the client’s wishes could lead to ethical and legal issues.
C.The nurse should discuss and clarify the client’s wishes regarding resuscitation, document them clearly, and ensure the healthcare team is informed so that the client’s autonomy and advance directives are respected.
D. Verbally reporting to the OR supervisor is important but insufficient without proper documentation and discussion with the healthcare team and client.

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Correct Answer is B

Explanation

A. Using gentle patting motions is appropriate to protect fragile skin in older adults.
B. Using a large quantity of soap can dry and irritate the older adult’s skin; only a small amount of mild soap should be used.
C. Inspecting the feet is important for detecting issues like infections or pressure sores.
D. Testing water temperature ensures safety and prevents burns

A. a client with pneumonia B. a client with controlled hypertension C. a client with rheumatoid arthritis D. a client with the flu

Correct Answer is C

Explanation

A. Pneumonia typically causes acute pain or discomfort, not chronic pain.
B. Controlled hypertension does not generally cause pain.
C. Rheumatoid arthritis is a chronic inflammatory condition that often causes persistent, chronic pain.
D. The flu causes acute symptoms, including pain, but this is usually short-term, not chronic.

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client scheduled for open heart surgery tells the nurse he does not want to be "saved" if he dies during surgery. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. The nurse determines the UAP requires intervention when the UAP:

Correct Answer is B

Explanation

Which client would be classified as having chronic pain?

Correct Answer is C

Explanation

The following foods are a part of a client's daily diet: high-fiber cereals, fruits, vegetables, ten 8-oz glasses (2,500 mL) of fluids. What would the nurse tell the client to change?

A nurse working in a long-term care facility is instituting interventions to prevent falls. Which intervention is an appropriate alternative to the use of restraints for ensuring client safety and preventing falls?

The nurse is creating a plan of care for an older adult client at risk for constipation. Which intervention by the nurse will decrease this risk?

A client returning to the floor after orthopedic surgery is reporting nausea. The nurse is aware that an appropriate intervention is to:

A client tells a nurse, "I do not think I can have the recommended heart surgery because transfusions are against my religion." What is the best response of the nurse in this situation?

A home care nurse is educating a client with diabetes on how to self-administer insulin. Which teaching point should the nurse include in the education plan?

In order to prevent the possibility of venous stasis, a nurse is educating a surgical client on how to perform leg exercises. Which statement by the client indicates a sound understanding of leg exercises?