Author Question: A nurse is caring for a patient with end-stage heart failure and understands the futility of care ... (Read 56 times)

mmm · **on:** Jul 8, 2018

A nurse is caring for a patient with end-stage heart failure and understands the futility of care for this patient. The family is in denial and refuses to consent to a DNR (do not resuscitate).

Their misperceptions regarding the DNR status may be based on which interpretation?
a. A DNR order provides minimal care.
b. A DNR order allows for pain medication administration.
c. A DNR order allows for the administra-tion of antibiotics.
d. A DNR order allows for nutrition.

Question 2

Which observation requires an intervention with a new graduate nurse by his preceptor? (Select all that apply.)

a. Data entry on the wrong patient
b. Entry of I&O values at end of shift
c. Incomplete pain assessment
d. Notifying pharmacy of unavailability of a medication
e. Failing to complete an admission profile

wtf444 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: A
Patients and families consenting to DNR are consenting to not receive aggressive medical treat-ment only. Care continues until death occurs. The other options are incorrect because they are interventions allowed with a DNR order.

Answer to Question 2

ANS: A, C, E
Options A, C, and E are correct because the nurse should intervene if the data are incorrect or not entered. Although I&O values should be entered before leaving the room, no actual harm will be done to the patient and intervention is not required. Option D is incorrect because it would be an appropriate action and not require intervention.