Author Question: The health status of an older patient with liver disease is rapidly deteriorating. There is no ... (Read 13 times)

bcretired · **on:** Jul 11, 2018

The health status of an older patient with liver disease is rapidly deteriorating. There is no documentation on the medical record regarding the patient's care wishes.

What should the nurse do to ensure the patient receives care that is desired at the end of life? 1. Ask social services to provide an advance directive for the patient to complete.
2. Talk with the patient regarding what the patient wants after the hospitalization ends.
3. Call a meeting with the patient, family, and primary care physician to discuss care goals.
4. Discuss the patient's dire situation with the family and find out what their wishes might be.

Question 2

A nurse admitting a client to the hospital emergency department suspects the elderly woman was physically abused. Which of the following must be included in the medical workup for this client?

A) complete blood count and blood chemistries
B) toxicological screening
C) pelvic examination
D) complete visual examination with clothing removed

lorealeza77 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

3
Rationale: If unsure of a patient's wishes for care at the end of life, a team meeting with the key decision makers such as the patient, family, and primary care physician should be held. The nurse should not ask for an advance directive unless the patient desires to complete one.

Answer to Question 2

D