Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
An older adult client is scheduled to have an elective surgical procedure and informs the nurse that she wants to be designated as a "do not resuscitate" (DNR) case. Which of the following responses should the nurse provide?
A. "You need to let your provider know your wishes after the procedure."
Waiting until after the procedure to inform the provider is not appropriate for discussing end-of-life wishes.
B. "This is a minor procedure; there is no need for this request."
The seriousness of the procedure does not determine the necessity of a DNR request; it's the client's right to express this choice.
C. "You need to discuss your request with the hospital chaplain."
While spiritual support can be helpful, discussing DNR orders typically involves the healthcare team and the client directly.
D. "Your provider needs to talk with you concerning your request."
The provider should directly discuss the client's wishes regarding a DNR order to ensure understanding and documentation.
This question is an excerpt from Nurse Dive's nursing test bank - Ati med surg pharm comprehensive proctored exam. Take the full exam now
Full Explanation
A. Waiting until after the procedure to inform the provider is not appropriate for discussing end-of-life wishes.
B. The seriousness of the procedure does not determine the necessity of a DNR request; it's the client's right to express this choice.
C. While spiritual support can be helpful, discussing DNR orders typically involves the healthcare team and the client directly.
D. The provider should directly discuss the client's wishes regarding a DNR order to ensure understanding and documentation.
Similar Questions
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?
A. Withdraw 10 units of insulin from the regular insulin vial.
The first step should involve preparing the NPH insulin by injecting air into the vial.
B. Inject 20 units of air into the NPH insulin vial.
Injecting air into the NPH insulin vial ensures that the proper amount of insulin can be withdrawn without creating a vacuum.
C. Replace the needle for withdrawal with a safety needle.
Needle replacement with a safety needle is important for safety but occurs after preparing the insulin.
D. Inject 10 units of air into the regular insulin vial.
Injecting air into the regular insulin vial is not the initial step in preparing mixed insulin.
Full Explanation
Rationale:
A. The first step should involve preparing the NPH insulin by injecting air into the vial.
B. Injecting air into the NPH insulin vial ensures that the proper amount of insulin can be withdrawn without creating a vacuum.
C. Needle replacement with a safety needle is important for safety but occurs after preparing the insulin.
D. Injecting air into the regular insulin vial is not the initial step in preparing mixed insulin.
A nurse is caring for a client who has not voided for 8 hr following the removal of an indwelling urinary catheter. Which of the following actions should be the nurse take first?
A. Provide assistance to bathroom.
Providing assistance to the bathroom is appropriate but should follow assessment and intervention for urinary retention.
B. Increase fluids.
Increasing fluids may be beneficial but does not address the immediate need to assess for urinary retention.
C. Perform a bladder scan.
Performing a bladder scan is the first action to assess if the client has urine in the bladder and needs further intervention.
D. Insert a straight catheter.
Inserting a straight catheter is a potential intervention but should be based on assessment findings from the bladder scan.
Full Explanation
A. Providing assistance to the bathroom is appropriate but should follow assessment and intervention for urinary retention.
B. Increasing fluids may be beneficial but does not address the immediate need to assess for urinary retention.
C. Performing a bladder scan is the first action to assess if the client has urine in the bladder and needs further intervention.
D. Inserting a straight catheter is a potential intervention but should be based on assessment findings from the bladder scan.
A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)
A. Sleep on a soft mattress.
Sleeping on a firm mattress is generally recommended to support the spine and prevent back strain.
B. Avoid prolonged sitting.
Avoiding prolonged sitting helps reduce pressure on the lower back and can prevent back pain.
C. Apply heat for 10 min every hour.
Applying heat intermittently can provide temporary relief but does not prevent back strain.
D. Sleep in a side-lying position with flexed knees.
Sleeping in a side-lying position with knees flexed helps maintain natural spinal curvature and reduces strain on the back.
E. Try padded shoe insoles.
Padded shoe insoles may provide comfort. Proper arch support can improve posture and reduce stress on the lower back.
Full Explanation
Rationale:
A. Sleeping on a firm mattress is generally recommended to support the spine and prevent back strain.
B. Avoiding prolonged sitting helps reduce pressure on the lower back and can prevent back pain.
C. Applying heat intermittently can provide temporary relief but does not prevent back strain.
D. Sleeping in a side-lying position with knees flexed helps maintain natural spinal curvature and reduces strain on the back.
E. Padded shoe insoles may provide comfort. Proper arch support can improve posture and reduce stress on the lower back.