Question

36.An elderly terminally ill client is experiencing apnea periods and within an hour, dies. No efforts were provided to resuscitate this client. Which of the following would describe this client’s event? Select all that apply

Do-not-resuscitate

Come depasse

Brain dead

Passive euthanasia

Assisted suicide

Active euthanasia

37. The nurse is ensuring that a client able to make knowledgeable decisions regarding an upcoming surgery and can provide informed consent. What is the responsibility of the nurse regarding informal consent?

Explain the surgical options

Explain the operative risk

Describe the operative procedure to be done

Witness a patient’s signature

39. A client needs emergency surgery after sustaining injuries from a natural gas explosion. The client is not attended by any family members and the surgery cannot wait. Which of the following can be done to ensure the best and safest care is provided to the client?

Hold the surgery until a family member arrives to the hospital to give consent

Contact a pastor to pray with client before the surgery

Instruct the client in postoperative exercises while waiting for the anesthesia to take effect

Have a member of the nursing staffs try to reach the family at home to provide consent for the surgery

42. A client scheduled for surgery is instructed on the use of a patient-controlled analgesic device that she will use after the procedure. What are the advantages this device for pain control? Select all that apply

The client controls the timing of medication delivery

The client does not have to wait for the nurse to provide pain medication

The medication is delivered intravenously

The nurse does not have to check on the client as frequently

The physician does not need to prescribe various pain medication after the surgery

Pain control improves client comfort after surgery

46. A client hospitalized with an extensive cerebral vascular accident, is unable to make any treatment decisions. Which of the following documents addresses the client’s treatment choices? Select all that apply

Living will

Durable power of attorney for health care

Incident report

Verbal advance directives

Advance directives

Medication administration record

48. The nurse reviews the American Nurses Association’s Code of Ethics for Nurses. Which of the following is included in this code? Select all that apply

Care is provided with compassion and respect

Primary commitment is to the client

Strive to protect the health, safety, and rights of the client

Delegation is not an option

Client needs supersede those of the nurse

Collaboration with other health care professionals is expected

7. A nurse is assessing a client who complains of sudden onset shortness of breath after a Thoracentesis, what is the most important assessment?

The clients ability to communicate

Pulse ox <92, strider and restlessness

Skin’s appearance, color and temp

Blood pressure of 120/68, respiratory rate 22, LOC-calm

A client will be undergoing palliative surgery. The clients daughter asks what this means. What is the nurse’s best response?

“The surgery will relieve the symptoms but will not cure your father.”

“There are fewer risks with this type of surgery.”

“There is no guarantee of the outcome of the surgery.”

“The surgery must be performed immediately to save your fathers life.”

3. An immobilized client is suspected of having atelectasis. This is assessed by the nurse upon auscultation as?

Harsh crackles

Wheezing on inspiration

Diminished breath sounds

Bronchovescicular whooshing

4. any patient having abdominal surgery is at risk to develop which of the following most serious complications?

Constipation

Ileus

Diarrhea

Crohnes disease

5. The health care facility is implementing a new evidence-based nursing protocol. What is necessary to endure successful implementation?

Tools to evaluate the protocol are valid and reliable

Support from nurses implementing the protocol is present

Recommendations for the protocol are obtained from senior administrators

The evidence-based protocol is cost-effective for the facility

6.During the pre-op admission the nurse gathers social history, which includes types of careers, hobbies, and personal hobbies of a patient. The nurse would suspect delayed healing, altered gas exchange in patients who regularly perform which hobbies or habits?(select all that apply)

Long distant runner

20-year history of smoking

Welder or miner

Triathlon participant

Consumes alcohol on a regular basis

7. A nurse is assessing a client who complains of sudden onset shortness of breath after a Thoracentesis, what is the most important assessment?

The clients ability to communicate

Pulse ox <92, strider and restlessness

Skin’s appearance, color and temp

Blood pressure of 120/68, respiratory rate 22, LOC-calm

8. The nurse is completing preoperative teaching for a client, and it becomes apparent that the client does not understand the surgery that will be performed what is the priority action for the nurse?

Obtain informed consent form the client

Continue teaching the client about the surgery

Revise the teaching plan for the client

Notify the surgeon and document the finding

Answer 1

36. Here the patient is terminally ill so the principle followed is alleviate the symptoms but do not resuscitate.

37. The patients signature is the answer because other options are the formal consent and preop care and education

39. The safest way is to take the patient for surgery so instructing post op exercises while on anesthetic effect is the right answer

42. Patient controlled analgesic drugs helps the patient to take medication at time control interval, the client has no need to wait for nurse for pain medication, pain control improves patients comfort after surgery.

46. Durable power of attorney in health care.

48 care is provided with compassion and care, client is the center of treatment, strive to protect clients health and security.

7. The clients ability to communicate is the answer as to check the clarity wereby it reflects the breathing difficulty.

8. Here we are going to revise the teaching plan inform the surgeon and document the findings