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. A Jackson-Pratt drain is a closed-suction device that removes drainage and blood from the surgical site to prevent fluid accumulation and promote healing.
B. Drainage from a Jackson-Pratt drain is actively suctioned by the bulb, not by gravity or capillary action.
C. The drain is typically removed once drainage decreases, not kept permanently.
D. The device is not used for medication administration.
Correct Answer is B
Explanation
A. Religious influences can shape beliefs about death and afterlife, but may not directly determine how grief is expressed.
B. Cultural influences play a major role in how individuals express grief, including rituals, emotional display, and mourning practices. Culture often guides acceptable behaviors and expressions during grieving.
C. Socioeconomic factors can affect access to support and resources but are less directly tied to the expression of grief.
D. Cause of death can influence the intensity or duration of grief but is less likely than culture to shape how grief is outwardly expressed.
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