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DaniBrook DaniBrook
wrote...
Posts: 153
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6 years ago
The health status of an older patient with liver disease is rapidly deteriorating. There is no documentation on the medical record regarding the patient's care wishes.
 
  What should the nurse do to ensure the patient receives care that is desired at the end of life? 1. Ask social services to provide an advance directive for the patient to complete.
  2. Talk with the patient regarding what the patient wants after the hospitalization ends.
  3. Call a meeting with the patient, family, and primary care physician to discuss care goals.
  4. Discuss the patient's dire situation with the family and find out what their wishes might be.

Question 2

A nurse admitting a client to the hospital emergency department suspects the elderly woman was physically abused. Which of the following must be included in the medical workup for this client?
 
  A) complete blood count and blood chemistries
  B) toxicological screening
  C) pelvic examination
  D) complete visual examination with clothing removed

Question 3

The nurse, caring for an older patient who is nearing death, has never taken care of a dying patient before. What is the first thing that the nurse must do prior to caring for this patient?
 
  1. Confirm the patient's code status.
  2. Review the facility's policy on postmortem care.
  3. Confront personal feelings and fears about death.
  4. Confirm that the family has made funeral arrangements.

Question 4

Which of the following cases seen by a nurse working in the emergency department identifies a situation that suggests a case of elder mistreatment?
 
  A) an 85-year-old male who has several small areas of bruising on the back of the hands and is taking clopidogrel sisulfate (Plavix) and aspirin daily
  B) an 86-year-old woman who has three dime-size burned areas on her upper inner thigh
  C) a 77-year-old woman who fell at home after tripping over her dog and broke her arm about 30 minutes earlier
  D) a 73-year-old male with a history of gastric ulcers who is found to be anemic after vomiting blood 3 hours earlier

Question 5

Select the situation that describes a case in which the caregiver is at highest risk for caregiver stress, a risk for elder abuse.
 
  A) an adult employed son who lives with his mother and receives assistance daily from two other siblings
  B) an adult daughter who lives with her father, is active in her church, and has a hired nursing aide stay at night to care for her father while she sleeps
  C) an adult daughter who is an only child, has her mother living in her home, and uses respite care 2 days per week
  D) an adult son who is a recovering alcoholic, lives with his mother, and depends on her retirement pension for living expenses
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Replies
wrote...
6 years ago
Answer to #1

3
Rationale: If unsure of a patient's wishes for care at the end of life, a team meeting with the key decision makers such as the patient, family, and primary care physician should be held. The nurse should not ask for an advance directive unless the patient desires to complete one.

Answer to #2

D

Answer to #3

3
Rationale: The nurse does need to be aware of the patient's code status but this is not the first thing that the nurse needs to do prior to caring for the patient.

Answer to #4

B

Answer to #5

D
DaniBrook Author
wrote...
6 years ago
Now I'm convinced to ask more questions Slight Smile
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