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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Certification validates specialty knowledge and clinical judgment beyond the basic entry-level competencies required for licensure. It demonstrates that a nurse has advanced expertise in a specific area of practice.
B. Certification is not based solely on the number of years practiced; it requires meeting specific criteria, including exams and continuing education.
C. While a clean disciplinary record may be required to sit for certification, certification itself does not validate innocence of violations.
D. Certification is typically focused on a specific specialty area, not on the ability to practice in multiple areas.
Correct Answer is B
Explanation
A. Reassuring the family without addressing the issue is unsafe.
B. Applying a pressure dressing helps control bleeding, and reporting findings promptly ensures timely medical intervention.
C. Simply documenting and changing the dressing without addressing bleeding risks worsening the condition.
D. Waiting to monitor without immediate intervention could allow the client’s condition to deteriorate.
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