Question

161. a nurse on a medical surgical unite is assisting with the admission of a client who has advanced lung cancer. Which of the following actions regarding advance directives should the nurse take? Document the client deductions about end-of-life care in the medical record. Ensure that an anatomy has reviewed the client's advice directives Contact the facility's role manager to verify if the client has a living will Tell the client that a family member should serve as a health care surrogate

Answer 1

161. The correct option is a)

Nursing responsibilities regarding advance directives include:

Providing written information regarding advance directives

Documenting the client's advance directives status. Nurses must review and verify the patient's advance directive status with their first patient contact because an emergency life threatening situation like a cardiac or respiratory arrest can occur at any time with little or no time to review these documents at that time. If, for example, the patient has an advance directive to NOT have CPR, the nurse may administer CPR because they have failed to review the client's advance directive. This CPR, then, is contrary to the patient's wishes.

Ensuring that advance directives are current and reflective of the client's current decisions

Recognizing that the client's choice takes priority when there is a conflict between the client and family, or between the client and the provider

Informing all members of the health care team of the client's advance directives