Which of the following resources should the nurse consult in planning for this policy? These patients are ideal candidates to be organ donors if their family consents, BUT – HUGE note here – you should NEVER approach a family about organ donation.

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Coming from an ICU background, especially in the Neuro ICU, Jon and I have seen this dozens of times between the two of us. A nurse notices a small spark from an outlet when plugging in an IV infusion pump. The nurse should recommend that the newly licensed nurse take which of the following actions? One of those stories will be represented in the Case Study in the Cerebral Perfusion Pressure lesson, so make sure you check it out! Feel Like You Don’t Belong in Nursing School? Isolates herself from other staff members.

A nurse on a medical-surgical unit is caring for a client who is terminally ill. Which of the following actions should the nurse take? Which of the following actions should the nurse take while applying the restraints? Tags Which of the following actions should the nurse take if he suspects that his colleague is under the influence of alcohol? Which of the following is an appropriate referral for the client?

The client exhibits extended and pronated arms, flexed wrists with palms facing backward, and rigid legs extended with plantar flexion. A nurse overhears two staff members in the facility elevator discussing a client’s care.

A charge nurse observes that a staff nurse’s behavior has changed over the past few weeks. Now, this is where it gets difficult. Remember we said that the brainstem controls breathing, right?

A nurse manager is reviewing the stages of conflict resolution with the nursing staff. Start a trial to view the entire video. Which of the following statements is most appropriate?

This is a topic that both Jon and myself are very passionate about. The nurse responds by informing the family members that being in a coma is not the same thing as brain death. That is the difference between a patient who is Comatose and one who is Brain Dead. → Clinically dead, Educate family on brain death testing process, Provide compassion in this difficult time, That Time I Dropped Out of Nursing School. This is also considered confirmatory for brain death. What principle are they based on?

The media and Hollywood throw around the term “Brain Dead” very liberally and it creates misunderstandings in family members. Support the client’s decision regarding treatment.

But remember that the heart is electrically independent from the brain, so it will continue to beat as long as it is effectively oxygenated and doesn’t experience damage. Which of the following actions should the nurse implement first? The family is at the bedside and are very upset and crying over the client. The client states that she does not plan to tell her adult daughters about the diagnosis. Which of the following interventions should the nurse take?

… A patient determined to be brain dead is legally and clinically dead.” It’s just as final as cardiac death. A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter. You must login or register to add a new answer.

A nurse is caring for a client who is terminally ill and receiving nutritional support. Which of the following precautions should the nurse plan to take when providing client care?

A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. Be aware of religious and cultural preferences when helping clients and families prepare for death.

A nurse manager is completing a performance improvement audit and determines documentation of client discharge teaching is below the expected benchmark.

The client tells the nurse that he has decided to stop hemodialysis treatment. Notified The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. “I should repeat the prescription back to the provider for verification.”. A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Facilitate the client’s peaceful, pain-controlled death A nurse case manager is planning a teaching session on the use of critical pathways with a group of newly licensed nurses. Some staff members have verbalized displeasure with the changes.

You can be comatose, or even in a persistent vegetative state, and still have flow and NOT be brain dead.

Doll's eye movement ; Cardinal gaze test ; Cotton-tipped applicator scleral depression test ; Capillary refill ; Question 3 of 6 ; The nurse is checking the client’s chart for proper paperwork before cardiac surgery. Which of the following actions should the nurse take?

We will also see an absence of blood flow to the brain and a complete lack of brain wave activity. A nurse is developing a plan of care for a school-age child whose family is homeless. The nurse should first see the client who has which of the following laboratory values? (Move the steps into the box on the right, placing them in the selected order of performance. Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? The client has a living will that declines the use of artificial enteral nutrition as a life-sustaining measure but the clients family has requested that the staff begin tube feedings.

A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment. Which of the following actions should the nurse take to act in the role of an advocate for the client? He observes that her gait seems unsteady, and she occasionally slurs her speech. Apply the padded portion of the restraint around client’s wrist. Which of the following client statements indicates an understanding of the teaching? If you do, you’ll retain a great deal for current use, as well as, for the exam. A nurse is caring for a client who is comatose. 4. Please enter your email address. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.

Brain death, on the other hand is an actual clinical diagnosis. B. Then, we will disconnect the ventilator for up to 10 minutes.

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