Exam 10: End-Of-Life Care

A patient was admitted several weeks ago with an acute myocardial infarction and subsequently underwent coronary artery bypass grafting surgery.Since a cardiac arrest 5 days ago,the patient has been unresponsive.An electroencephalogram shows no meaningful brain activity.The decision is made to remove the patient from the ventilator.Which of the following statements is most accurate?

A patient tells the nurse to call his family and tell them they need to come so they can say their goodbyes.The patient is sure he will not be here tomorrow because his grandparent is waiting for him.What is the patient exhibiting?

In one study found that greater family satisfaction with withdrawal of life support was associated with which of the following measures?

A patient was admitted several weeks ago with an acute myocardial infarction and subsequently underwent coronary artery bypass grafting surgery.Since a cardiac arrest 5 days ago,the patient has been unresponsive.An electroencephalogram shows no meaningful brain activity.After a family conference,the practitioner orders a do-not-resuscitate (DNR)order,and palliative care is begun.How does this affect the patient's treatment?

A patient was admitted several weeks ago with an acute myocardial infarction and subsequently underwent coronary artery bypass grafting surgery.Since a cardiac arrest 5 days ago,the patient has been unresponsive.An electroencephalogram shows no meaningful brain activity.The patient does not have an advance directive.Which statement would be the best way to approach the family regarding his ongoing care?

What is the most common complaint heard from families of dying patients?

The patient's condition has deteriorated to the point where she can no longer make decisions about her own care.Which nursing interventions would be most appropriate?

A patient was admitted to the critical care unit after having a cerebrovascular accident (CVA)and myocardial infarction (MI).The patient has poor activity tolerance,falls in and out of consciousness,and has poor verbal skills.The patient has been resuscitated four times in the past 6 hours.The patient does not have advance directives.Family members are at the bedside.Who should the practitioner approach to discuss decisions of care and possible do-not-resuscitate (DNR)status?

In caring for a patient receiving palliative care,antiemetics are used in the treatment of what problem?

Recommendations for creating a supportive atmosphere during end-of-life discussions include which intervention?

Disagreement and distress among practitioners,nurse practitioners,and critical care nurses can lead to what issue?

Which statement regarding organ donation is accurate?

What is a powerful influence when the decision-making process is dealing with recovery or a peaceful death?

Which of the following are considerations when making the decision to allow family at the bedside during resuscitation efforts?

What are the two basic ethical principles underlying the provision of health care?

Which of the following statements about comfort care is accurate?

Hospice care is an option that should be considered,especially in end-stage illness.Hospice care can help families with which issue(s)?

Haloperidol are traditionally been used to managed which symptom?

A patient was admitted several weeks ago with an acute myocardial infarction and subsequently underwent coronary artery bypass grafting surgery.Since a cardiac arrest 5 days ago,the patient has been unresponsive.An electroencephalogram shows no meaningful brain activity.The patient is placed on a morphine drip to alleviate suspected operative pain and assist in sedation.The patient continues to grimace and fight the ventilator.What nursing intervention would be appropriate?