Author Question: A home health client has terminal cancer and has signed a DNR (do not resuscitate) order. The client ... (Read 23 times)

Jkov05 · **on:** Jul 23, 2018

A home health client has terminal cancer and has signed a DNR (do not resuscitate) order. The client has a respiratory arrest during one of the home health nurse's visits. The client's spouse tells the nurse to call 911. The nurse should:

1. Ignore the spouse.
2. Call 911.
3. Start CPR.
4. Remind the spouse of the client's desires.

Question 2

A client's insurance company has coverage for DME. Which of the following client needs would be covered under this clause?

1. Dressings and bandages
2. Medications
3. A hospital bed
4. Visits by the home health nurse

annierak · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale: In the event of conflict between the client's desires and the family's wishes, the nurse, being the client's primary advocate, ensures that the client's rights and desires are upheld. This is a difficult situation, but the nurse is bound to the client's desires.

Answer to Question 2

Correct Answer: 3
Rationale 1: Supplies that the client uses and cannot be reused is not considered DME.
Rationale 2: Supplies that the client uses and cannot be reused is not considered DME.
Rationale 3: Durable medical equipment (DME) ranges from hospital beds to bedside commodes to ventilators and apnea monitors. Equipment that will not be used up is considered DME.
Rationale 4: Visits by the home health nurse are not equipment.