Nurs 221 (Critical Care Test 1) NCLEX Practice
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Terms in this set (160)
A 75-year-old patient, who suffered a D
massive stroke 3 weeks ago, has been
unresponsive and has required (withholding life support)
ventilatory support since the time of
the stroke. The physician has
approached the
spouse regarding placement of a
permanent feeding tube. The spouse
states that the patient never wanted to
be kept alive by tubes and personally
didn't want what was being done.
After
holding a family conference with the
spouse, the medical team concurs,
and the feeding tube is not placed.
This situation is an example of
A. euthanasia
B. palliative care
C. withdrawal of life support
D. withholding life support
*P-4*
,A patient who is undergoing B
withdrawal of mechanical ventilation
appears anxious and agitated. The (Administer lorazepam (Ativan) 1 mg IV now)
patient is on a continuous morphine
infusion and has an additional order
for lorazepam (Ativan) 1 to 2 mg IV as
needed (prn). The patient has received
no lorazepam (Ativan) during this
course of illness. What is the most
appropriate nursing intervention to
control agitation?
A. Administer fentanyl (Duragesic) 25
mg IV bolus
B. Administer lorazepam (Ativan) 1 mg
IV now
C. Increase the rate of the morphine
infusion by 50%
D. Request an order for a paralytic
agent
*P-4*
A statement that provides a legally A
recognized description of an
individual's desires regarding care at (advance directive)
the end of life is
A. advance directive
B. guardianship ad litem
C. health care proxy
D. power of attorney
*P-4*
,A patient with metastatic lung A
carcinoma has been unresponsive to
chemotherapy. The medical team has (Medical futility)
determined that there are no
additional treatments available that
will prolong life or improve the quality
of life in any meaningful way. Despite
the poor prognosis, the patient
continues to receive chemotherapy
and full nutritional support. This is an
example of which end-of-life
concept?
A. Medical futility
B. Palliative care
C. Terminal weaning
D. Withdrawal of treatment
*P-4*
Designated health care surrogates D
should base health care decisions on
(wishes previously expressed by the patient)
A. personal beliefs and values
B. recommendations of family
members and friends
C. recommendations of the physician
and health care team
D. wishes previously expressed by the
patient
*P-4*
, Which statement made by a staff C
nurse identifying guidelines for
palliative care would need to be (Palliative care practices are reserved for the dying
corrected? client)
A. Basic nursing care is a critical
element in palliative care
management
B. Common conditions that require
palliative management are nausea,
agitation, and sleep disturbance
C. Palliative care practices are
reserved for the dying client
D. Palliative care practices relieve
symptoms that negatively affect the
quality of life of a patient
*P-4*
Which statement is true regarding the C
impact of culture on end-of-life
decision making? (Culture and religious beliefs may affect end-of-life
decision making)
A. Cultural beliefs should not take
precedence over health care team
decisions
B. It is easy and common to assess
cultural beliefs affecting end-of-life
care in the intensive care unit
C. Culture and religious beliefs may
affect end-of-life decision making
D. Perspectives regarding end-of-life
care are similar between and within
religious groups
*P-4*
Questions & Thorough Answers | Study Guide With
Solutions
Save
Terms in this set (160)
A 75-year-old patient, who suffered a D
massive stroke 3 weeks ago, has been
unresponsive and has required (withholding life support)
ventilatory support since the time of
the stroke. The physician has
approached the
spouse regarding placement of a
permanent feeding tube. The spouse
states that the patient never wanted to
be kept alive by tubes and personally
didn't want what was being done.
After
holding a family conference with the
spouse, the medical team concurs,
and the feeding tube is not placed.
This situation is an example of
A. euthanasia
B. palliative care
C. withdrawal of life support
D. withholding life support
*P-4*
,A patient who is undergoing B
withdrawal of mechanical ventilation
appears anxious and agitated. The (Administer lorazepam (Ativan) 1 mg IV now)
patient is on a continuous morphine
infusion and has an additional order
for lorazepam (Ativan) 1 to 2 mg IV as
needed (prn). The patient has received
no lorazepam (Ativan) during this
course of illness. What is the most
appropriate nursing intervention to
control agitation?
A. Administer fentanyl (Duragesic) 25
mg IV bolus
B. Administer lorazepam (Ativan) 1 mg
IV now
C. Increase the rate of the morphine
infusion by 50%
D. Request an order for a paralytic
agent
*P-4*
A statement that provides a legally A
recognized description of an
individual's desires regarding care at (advance directive)
the end of life is
A. advance directive
B. guardianship ad litem
C. health care proxy
D. power of attorney
*P-4*
,A patient with metastatic lung A
carcinoma has been unresponsive to
chemotherapy. The medical team has (Medical futility)
determined that there are no
additional treatments available that
will prolong life or improve the quality
of life in any meaningful way. Despite
the poor prognosis, the patient
continues to receive chemotherapy
and full nutritional support. This is an
example of which end-of-life
concept?
A. Medical futility
B. Palliative care
C. Terminal weaning
D. Withdrawal of treatment
*P-4*
Designated health care surrogates D
should base health care decisions on
(wishes previously expressed by the patient)
A. personal beliefs and values
B. recommendations of family
members and friends
C. recommendations of the physician
and health care team
D. wishes previously expressed by the
patient
*P-4*
, Which statement made by a staff C
nurse identifying guidelines for
palliative care would need to be (Palliative care practices are reserved for the dying
corrected? client)
A. Basic nursing care is a critical
element in palliative care
management
B. Common conditions that require
palliative management are nausea,
agitation, and sleep disturbance
C. Palliative care practices are
reserved for the dying client
D. Palliative care practices relieve
symptoms that negatively affect the
quality of life of a patient
*P-4*
Which statement is true regarding the C
impact of culture on end-of-life
decision making? (Culture and religious beliefs may affect end-of-life
decision making)
A. Cultural beliefs should not take
precedence over health care team
decisions
B. It is easy and common to assess
cultural beliefs affecting end-of-life
care in the intensive care unit
C. Culture and religious beliefs may
affect end-of-life decision making
D. Perspectives regarding end-of-life
care are similar between and within
religious groups
*P-4*
