The nurse is discussing the difference between a Do Not Resuscitate (DNR) order and a Allow Natural Death (AND) order to a patient with a terminal illness. Which of the following correctly explains the difference of these two orders?
DNR prevents resuscitation while AND allows for feeding tubes only.
Both orders require healthcare professionals do everything possible to save the patient.
Both orders prevent resuscitation, however, AND is more perceived to be more helpful.
DNR allows mechanical ventilation while AND prevents all resuscitation efforts.
The Correct Answer is C
A. "DNR prevents resuscitation while AND allows for feeding tubes only." This is incorrect as the Allow Natural Death (AND) order does not specifically address feeding tubes; it focuses on allowing natural death without aggressive life-sustaining interventions.
B. "Both orders require healthcare professionals do everything possible to save the patient." This is incorrect because both DNR and AND orders are intended to prevent certain resuscitation efforts. The goal of both is to limit or avoid aggressive interventions, though AND is more focused on allowing natural death with comfort care.
C. "Both orders prevent resuscitation; however, AND is more perceived to be more helpful." Both DNR and AND orders prevent resuscitation efforts, but AND is often perceived as a more comprehensive approach to end-of-life care, focusing on comfort and allowing a natural death.
D. "DNR allows mechanical ventilation while AND prevents all resuscitation efforts." This is incorrect because a DNR order specifically addresses not performing CPR, but it does not necessarily prevent other forms of life support such as mechanical ventilation. AND is a broader term that generally aims to limit all forms of aggressive treatment, including mechanical ventilation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Rotation: Rotation is a movement that involves turning a part of the body around its axis, which applies to shoulder movements.
B. Dorsiflexion: Dorsiflexion refers to the movement of the foot, not the shoulder, and is not applicable in this context.
C. Eversion: Eversion involves the movement of the foot and not the shoulder, so it does not apply here.
D. Extension: Extension refers to increasing the angle between body parts, such as straightening the arm or shoulder.
E. Adduction: Adduction involves moving a body part toward the midline, which is relevant to shoulder movements.
Correct Answer is C
Explanation
A. "I can provide resistance bands for you to use while performing range-of-motion exercises." Resistance bands are typically used for strengthening exercises, not specifically for isometric exercises.
B. “I want you to walk the hallways twice per day to increase your endurance." Walking is an aerobic exercise and does not represent isometric exercises, which involve static muscle contraction without movement.
C. “I can provide some simple yoga poses for you to practice as this will increase muscle mass." Yoga poses often involve holding positions that engage muscles without movement, which is characteristic of isometric exercises.
D. “Physical therapy will perform passive-range-of-motion with you each day." Passive-range-of-motion exercises are not isometric exercises, as they involve movement of the joints rather than muscle contraction without movement.
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