Someone who is brain dead will have ZERO reflexes present. A nurse is precepting a newly licensed nurse who is caring for a client who has suspected pulmonary tuberculosis.

A case manager is planning an interprofessional conference for a client who is 3 days postoperative following an open reduction and internal fixation of the right hip. Which of the following statements by the client indicates an understanding of the teaching? A nurse is providing discharge teaching to a client who is scheduled to receive oxygen at home. A nurse manager is completing a performance improvement audit and determines documentation of client discharge teaching is below the expected benchmark. A charge nurse is evaluating a plan of care that a novice nurse developed for a client who is to receive a continuous NG tube feeding. That is the time-frame in which we look to organ donation. Explore alternative solutions to address unit workflow with the nurses. What is the appropriate response? The client has a living will that declines the use of artificial enteral nutrition as a life-sustaining measure, but the client’s family has requested that the staff begin tube feedings. The client tells the nurse that he has decided to stop hemodialysis treatment. We love you guys! At this point we are supposed to disconnect the ventilator and remove all forms of life support. You will receive a link and will create a new password via email. Which of the following findings should the nurse identify as the priority? 71. Assist clients who are in immediate danger to a safe location. Arrange for a private room so the family can grieve traditionally. (Select all that apply.). Coma is often … Which of the following is a legally required part of an advance directive? A client who is 2 days postoperative and has a urine output of 20 mL/hr. The nurse notes that the client is having difficulty buttoning her clothing. I am too tired to take it.” Which of the following actions should the nurse take? Then, we will disconnect the ventilator for up to 10 minutes. “I will verify the flow rate on my oxygen equipment daily.”. Which of the following tissues can be donated? Which of the following actions should the nurse take to act in the role of an advocate for the client? Which of the following actions should the nurse take while applying the restraints? E-Mail* B. A nurse in an emergency department is admitting clients following an earthquake. A charge nurse is planning client care assignments for a unit. You must login or register to add a new answer. Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel (AP)? Which of the following actions should the charge nurse take? A nurse is caring for a client whose death is imminent. (Select all that apply. Feel Like You Don’t Belong in Nursing School? If their CO2 has risen to over 60 mmHg, that is considered confirmation of brain death. Which of the following should the nurse recommend as a qualitative research method? Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences. 1.A nurse is caring for a client who is comatose. A home health nurse is planning her daily visits and receives laboratory results for four adult clients. Reverse Trendelenburg. Happy nursing! An assistive personnel (AP) tells a charge nurse that it is unfair that she has to take care of all the clients who are incontinent. If you want to be doing a poll click here . This is a very difficult thing for families to understand because of the common misunderstandings and misuse of the term brain dead. Which test is used to test brain stem function? The spouse is upset because the client’s heels are bright red. You can see this is a cerebral angiogram and you can see all the arteries coming up past the brainstem and spreading throughout the brain. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Use all the steps.). Which of the following is an appropriate action by the newly licensed nurse? If you do, you’ll retain a great deal for current use, as well as, for the exam. He observes that her gait seems unsteady, and she occasionally slurs her speech. Which of the following actions should the nurse take? Notified by e-mail at incoming answers.
(Select all that apply.). Which of the following clients should the nurse assess first? A nurse is caring for a client who is comatose. The nurse is caring for a client who is in a coma and notes the spouse rubbing the client’s heels. Family members of a client who is in a coma are concerned that the client is brain dead. Comatose clients are completely dependent on others because their consciousness and protective reflexes are impaired. So if they have no brainstem activity, they will not be able to initiate breaths at all.

Tags A nurse is developing a plan of care for a school-age child whose family is homeless. A staff nurse detects alcohol on the breath of another nurse working on the unit. A nurse notices a small spark from an outlet when plugging in an IV infusion pump. The child has inflamed fissures at the corners of her mouth. The nurse responds by informing the family members that being in a coma is not the same thing as brain death.

During the first few hours of coma, neurologic assessment is to be done as often as every 15 minutes. Client is comatose with living will that declines use of artificial enteral feedings but family requests feedings are started Review clients requests with family 19. A nurse is caring for an older adult client who has dementia and has become aggressive. A nurse is caring for a comatose client and needs to test for brain stem function. The client exhibits restlessness, an elevated pulse, and decreased blood pressure. 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. Please choose an appropriate title for the question to answer it even easier . Please choose the appropriate category so others can easily search your question. Which test is used to test brain stem function? What do we mean by that? What’s beyond them? The conflict is affecting the functioning of the unit. Please type your E-Mail . A nurse is serving on a committee that is considering the creation of a policy that will allow nurses to insert peripherally inserted central catheters in the intensive care unit. The nurse should first see the client who has which of the following laboratory values? Determine the factors that interfere with the documentation of client education. Which of the following actions should the nurse take? Which of the following actions should the charge nurse expect the newly licensed nurse to take? Please choose an appropriate title for the question to answer it even easier . The nurse should expect which of the following actions from the committee? Select all that apply. Your email address will not be published.

To address this problem, which of the following actions should the nurse manager take first? Review: Spend at least ten minutes every week reviewing all your previous notes. The client’s family want the client to have life-sustaining measures.

Decerebrate posturing as a response to pain indicates: A) dysfunction in the cerebrum. Please enter your email address.

Confirm the client voluntarily signed the consent. Which of the following responses by the charge nurse is appropriate? It means there is no blood flow, no reflexes, and no brain activity.

So just remember that brain death is considered legal and clinical death, just like cardiac death. So remember from the levels of consciousness lesson that Comatose is a description of a level of consciousness where the patient is unresponsive. NURSING MISC -Leadership Practice A -2020/NURSING MISC -Leadership Practice A -2020. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? “Let’s review what you understand about this test result.”. Anonymous asks. The family is at the bedside and are very upset and crying over the client. A client who has multiple sclerosis and reports ataxia. A charge nurse notices that a newly hired nurse consistently does not finish client care tasks by the end of the shift.

The client states that she does not plan to tell her adult daughters about the diagnosis. Inform the assistive personnel of the client’s weight-bearing status. So we want to help you understand this, and be able to help patients’ families through this difficult situation.

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