An older adult who is in his early 70s is admitted to the emergency department because of a COPD exacerbation. The client is struggling to breathe and the healthcare team is preparing for endotracheal intubation. The spo
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An older adult who is in his early 70s is admitted to the emergency department because of a COPD exacerbation. The client is struggling to breathe and the healthcare team is preparing for endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the nurse to stop the procedure and provides the nurse a copy of the client's living well. Which action should the nurse take?
A. Facilitate a family meeting with the palliative care team
B. Notify the healthcare provider of the clients wishes
C. Place a certified copy of the living well in the client's room
D. Alert the nursing staff of the clients do not resuscitate status - Answer>>> B. Notify the healthcare provider of the clients wishes
An unlicensed assistive personnel (UAP) is a sign to provide personal care for a client whose prescribed activity is bed rest in a bedside commode use. The UAP reports to the nurse that the client is so obese that the UAP feels unable to safely assist the client in transferring from the bed to the bedside commode. How should the nurse respond?
A. Determine the client's level of mobility and need for assistance
B. Instruct the UAP that all clients deserve equal care
C. Advise the client to maintain bedrest so that safety can be insured
D. Assign another UAP to care for the client - Answer>>> A. Determine the client's level of mobility and need for assistance
After an inservice about electronic health record (EHR) security and safeguarding client information, the nurse observes a colleague going home with printed copies of client information and a uniform packet. Which action should the nurse take?
A. File a detailed incident report with the specific hiring facility
B. Why did the colleague that their actions are unprofessional
C. Comment anonymously about the action on a staff discussion board
D. Communicate the colleague's actions to the unit charge nurse - Answer>>> A. File a detailed incident report with the specific hiring facility
An adult male who fell 20 feet from the roof of his home has multiple injuries, including a right pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to the intensive care unit (ICU). The nurse notes that the suction control chamber is bubbling at the -10 cm H2O mark with fluctuation in the water seal, and over the past hour 75 mL of bright red blood is measured in the collection chamber. Which intervention should the nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into the chamber
D. Increase wall suction to eliminate fluctuation in water seal - Answer>>> A. Add sterile water to the suction control chamber.
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