The nurse instructs an outpatient female patient preparing for an abdominal ultrasonography that prior to the procedure, she should:

Eat or drink nothing after midnight.

Empty the bladder fully.

Drink a liter of water.

Use enemas at home to clear the bowel fully.

Answer and Explanation

The Correct Answer is C

A. Eat or drink nothing after midnight: Relevant for other procedures (e.g., fasting for CT or surgery), but not for ultrasonography.

B. Empty the bladder fully: Counterproductive, as a full bladder is needed for optimal imaging.

C. Drink a liter of water. A full bladder is often necessary for abdominal ultrasonography to improve visualization of pelvic structures and other areas.

D. Use enemas at home to clear the bowel fully: Not necessary unless specified for certain types of imaging like colonoscopies.

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Correct Answer is D

Explanation

A. Have a personal experience of a similar nature: While personal experience can help, it is not required and may lead to projection of personal emotions onto the family.

B. Read a number of articles about death and dying: Knowledge is helpful, but it is not a substitute for emotional preparedness and personal reflection.

C. Have an understanding that all people deal with death in due time: True, but it does not directly prepare the nurse to support grieving families.

D. Deal with personal feelings about death and dying. Nurses must confront and manage their personal feelings to provide unbiased and empathetic support to grieving families.

A. Time vital signs ceased B. Results of the autopsy C. Why the patient died D. Official time of death E. Who pronounced the patient

Correct Answer is ["A","D","E"]

Explanation

A. Time vital signs ceased. Documenting the time at which vital signs ceased is important for medical and legal documentation. This helps establish the timeline of events leading to death and can be relevant for determining the official time of death.

B. Results of the autopsy. While an autopsy may provide valuable information, it is not typically documented at the time of death unless available. Autopsy results are generally included later after they are completed, not immediately after death.

C. Why the patient died. While the cause of death is often determined, it is generally not the nurse's role to speculate or document the reason for death in the medical record at the time of death. It is more appropriate for the physician or coroner to document the cause.

D. Official time of death. The official time of death should be documented as this is critical for legal, medical, and procedural purposes. It is typically recorded when the attending physician or another authorized individual pronounces the death.

E. Who pronounced the patient. It is necessary to document who pronounced the patient deceased to ensure that the pronouncement of death is legally recognized. This is part of standard medical documentation and ensures proper identification of the responsible party.

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The nurse instructs an outpatient female patient preparing for an abdominal ultrasonography that prior to the procedure, she should:

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Naxlex Comprehensive Predictor Exams

For the nurse to provide support to families of patients who have died, it is most important to:

Correct Answer is D

Explanation

A patient dies after suffering a severe cerebrovascular accident (CVA). The family members are informed of his demise and are at the bedside. What documentation should be noted in the patient's medical record? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

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A(n) ____________ is usually flexible, contains a fiber optic light, and is used to view the interior of body structures.

The greatest priority during patient orientation to the unit is to show or tell the patient how to

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