The nurse is addressing a client's questions after admission to the hospital. What is an accurate description of a living will?

A document that the client signs indicating they wish to be an organ donor

A medical order that outlines the client's wishes if cardiac or respiratory arrest occurs

A witnessed legal document that describes the client's wishes regarding medical care if unable to speak

A legal document that lists who gets the client's property & belongings before if they cannot communicate

Answer and Explanation

The Correct Answer is C

A. A document that the client signs indicating they wish to be an organ donor: This describes an organ donor card or organ donation consent form, not a living will. An organ donor card is a document indicating the individual's wish to donate organs after death to benefit others in need of organ transplants.

B. A medical order that outlines the client's wishes if cardiac or respiratory arrest occurs: This describes a do-not-resuscitate (DNR) order, which is a medical order indicating that the individual does not wish to receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. It is specific to resuscitation preferences and is different from a living will.

C. A witnessed legal document that describes the client's wishes regarding medical care if unable to speak: This is the correct description of a living will. A living will is a legal document that outlines a person's preferences regarding medical treatment and interventions in the event they become incapacitated and unable to communicate their wishes. It typically addresses preferences for life-sustaining treatments, such as mechanical ventilation, artificial nutrition and hydration, and other medical interventions.

D. A legal document that lists who gets the client's property & belongings before if they cannot communicate: This describes a last will and testament, which is a legal document that outlines how a person's property and assets should be distributed after their death. It does not address medical care preferences or interventions during the person's lifetime.

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Correct Answer is C

Explanation

A. antibiotic: While antibiotics can sometimes cause gastrointestinal side effects such as diarrhea or changes in bowel habits, they are not typically associated with causing hard or difficult-to-pass bowel movements.

B. NSAID (Nonsteroidal anti-inflammatory drug): NSAIDs can irritate the lining of the stomach and intestines, potentially leading to gastrointestinal side effects such as stomach upset, ulcers, or bleeding. However, they are not typically associated with causing hard or difficult-to-pass bowel movements.

C. opioid: Opioid medications, such as morphine, codeine, oxycodone, and hydrocodone, are well-known for causing constipation as a side effect. Opioids slow down the movement of stool through the intestines and can lead to decreased bowel motility and increased water absorption from the stool, resulting in hard, dry, and difficult-to-pass bowel movements.

D. decongestant: Decongestants are medications commonly used to relieve nasal congestion and sinus pressure. While decongestants can sometimes cause side effects such as dry mouth or urinary retention, they are not typically associated with causing hard or difficult-to-pass bowel movements.

A. Temperature B. BP and pulse in lying, then sitting and standing positions C. Pulse oximetry reading on room air D. Respiratory rate and depth

Correct Answer is B

Explanation

A. Temperature: While temperature assessment is important in evaluating a client's condition, it primarily indicates the presence of fever, which the client already reports. However, it does not provide direct information about the client's fluid status.

B. BP and pulse in lying, then sitting and standing positions: Assessing blood pressure (BP) and pulse in different positions (lying, sitting, and standing) helps evaluate orthostatic changes, which can indicate volume depletion or dehydration. A drop in BP and an increase in pulse rate upon standing suggest volume depletion and orthostatic hypotension, which are indicators of fluid loss.

C. Pulse oximetry reading on room air: Pulse oximetry measures the oxygen saturation of arterial blood and is primarily used to assess respiratory status and oxygenation. While it provides valuable information about oxygen levels, it does not directly assess fluid status.

D. Respiratory rate and depth: Respiratory rate and depth can be affected by various factors, including pain, fever, and respiratory conditions. While changes in respiratory rate and depth can indicate distress or respiratory compromise, they are not specific indicators of fluid status and may not directly reflect hydration status.

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The nurse is addressing a client's questions after admission to the hospital. What is an accurate description of a living will?

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Naxlex Comprehensive Predictor Exams

The client reports to the nurse that their bowel movements are hard & difficult to pass. Which of the medications taken by the client most likely contributed to this problem? A/An:

Correct Answer is C

Explanation

The nurse is assessing a 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days. The nurse observes a dry tongue and oral mucosa, and concentrated urine. To best assess the client's fluid status, which parameter(s) should the nurse check?

Correct Answer is B

Explanation

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The nurse is addressing a client's questions after admission to the hospital. What is an accurate description of a living will?

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