A client on the unit complains to the nurse that the client's ...

[rlane42]

A client on the unit complains to the nurse that the client's physician has refused to treat the client further if the client continues to be noncompliant with the physician's recommendations. The nurse considers the issue and decides to:
 
  1. Advise the client to sue the physician.
   2. Have the client contact a consumer agency.
   3. Take the issue to the hospital ethics committee.
   4. Notify the physician of the client's complaints.

Question 2

The nurse is assessing a client diagnosed with peripheral vascular disease. The client is obese, has a 30-year history of cigarette smoking, and works as a contractor.
 
  Which of the following should the nurse instruct the client about the diagnosis? 1. Nicotine primarily affects coronary arteries and the lungs.
   2. The client's occupation is a major risk factor.
   3. Nicotine is a vasoconstrictor.
   4. Obesity is a factor in cardiovascular disease but not peripheral vascular disease.

[Tonyam972]

Answer to Question 1

3. Take the issue to the hospital ethics committee.

Rationale:
Acting as a client advocate and protecting the client's rights, the nurse should enlist the help of the hospital ethics committee. The nurse never advises a client to sue but assists the client to find help resolving the issue. A consumer agency is not appropriate because this is an ethical matter. The nurse should act on behalf of the client, and the best way to do that is by taking the issue to the hospital ethics committee, not to the physician.

Answer to Question 2

3. Nicotine is a vasoconstrictor.

Rationale:
The vasoconstrictive properties of nicotine will worsen the client's peripheral vascular disease (PVD) by further decreasing peripheral blood flow. One of the most important parts of treatment is the cessation of cigarette smoking. The client's occupation is not a risk factor related to PVD. Obesity is a risk factor for both cardiovascular as well as PVD; however, the nurse should focus on smoking cessation as a first priority with this client.

[rlane42]

Both answers were spot on, thank you once again

[Tonyam972]

Great! Please up vote