The nurse is caring for a client who just arrived on the unit from PACU after a craniotomy for tumor debulking. After completing the initial assessment, the nurse administers morphine for pain. The client is groggy, but oriented and compliant. The client’s daughter is outside of the room and asks, “Can you just knock him out? He is agitated and getting on my nerves. He’s probably in pain and just needs to sleep off the rest of the day. I’m his health care power of attorney as you can see in the chart.” What is the most appropriate response?
An older adult client who has been diagnosed with lymphoma does not have a living will in place, but has filled out a values history. Which of the following is associated with this type of directive? Select all that apply.
The nurse is caring for a 70-year-old client diagnosed with pneumonia. The treatment plan includes antibiotics, breathing treatments, and incentive spirometer use. The client is alert and oriented to person, place, time, and situation. They are on 2L nasal cannula without any signs or symptoms of distress. The client states, “I do not want to have any antibiotics, I just want this to run its course.” The nurse knows this client has a durable power of attorney. Which of the following should the nurse do?
Studies have shown that although care planning and advance directives are available to clients, only a small percentage have actually completed them. Which of the following has been shown to be associated with a greater likelihood of completing an advance directive? Select all that apply.
A client with advanced kidney disease and diabetes wants to sign an advance directive stating that he or she does not want dialysis if it is eventually needed. Which response from the nurse is accurate in this situation?
A nurse is filling out paperwork with a client who is being admitted to the hospital. The nurse asks the client if he has an advance directive. Which response from the client indicates understanding of a power of attorney document?
A client in the hospital has just expired. Which of the following personnel must the nurse notify in the event of a client’s death? Select all that apply.
Which of the following is a role of the registered nurse when working with older adults regarding advance directives? Select all that apply.
In the event that a client becomes incompetent to make his or her own decisions, the healthcare power of attorney can authorize which of the following?
The nurse is working with a client who has decided to be designated as a DNR (do not resuscitate). Which of the following actions should the nurse ensure are complete in order for the DNR to be appropriately implemented? Select all that apply.
