Exam (elaborations)
NURS 104 EXAM 2 QUESTION AND ANSWERS (VERIFIED ANSWERS)
- Course
- Institution
NURS 104 EXAM 2 QUESTION AND ANSWERS (VERIFIED ANSWERS)
[Show more]
Content preview
ESTUDYNURS 104 EXAM 2 QUESTION AND ANSWERS
(VERIFIED ANSWERS)
### 1. Which of the following statements about comfort care is accurate?
- A) Withholding and withdrawing life-sustaining treatment are distinctly different in the eyes of the
legal community.
- B) Each procedure should be evaluated for its effect on the patient's comfort before being
implemented.
- C) Only the patient can determine what constitutes comfort care for him or her.
- D) Withdrawing life-sustaining treatments is considered euthanasia in most states.
**Answer:** B) Each procedure should be evaluated for its effect on the patient's comfort before being
implemented.
---
### 2. _____ is a powerful influence when the decision-making process is dealing with recovery or a
peaceful death.
- A) Hope
- B) Religion
- C) Culture
- D) Ethics
**Answer:** A) Hope
---
,ESTUDY
### 3. The patient's condition has deteriorated to the point where she can no longer make decisions
about her own care. Which nursing intervention would be most appropriate?
- A) Obtain a verbal DNR order from the physician.
- B) Continue caring for the patient as originally ordered because she obviously wanted this.
- C) Consult the hospital attorney for recommendations on how to proceed.
- D) Discuss with the family what the patient's wishes would be if she could make those decisions
herself.
**Answer:** D) Discuss with the family what the patient's wishes would be if she could make those
decisions herself.
---
### 4. The two basic ethical principles underlying the provision of health care are:
- A) Beneficence and nonmaleficence.
- B) Veracity and beneficence.
- C) Fidelity and nonmaleficence.
- D) Veracity and fidelity.
**Answer:** A) Beneficence and nonmaleficence.
---
### 5. A patient has been unresponsive after a cardiac arrest. What is the best way to approach the
family regarding ongoing care?
,ESTUDY
- A) "I will refer this case to the hospital ethics committee, and they will contact you when they have a
decision."
- B) "What do you want to do about the patient's care at this point?"
- C) "Dr. Smith believes that there is no hope at this point and recommends DNR status."
- D) "What would the patient want if he knew he were in this situation?"
**Answer:** D) "What would the patient want if he knew he were in this situation?"
---
### 6. After a DNR order is established, palliative care means:
- A) The patient will continue to receive the same aggressive treatment short of resuscitation.
- B) All treatment will be stopped, and the patient will be allowed to die.
- C) All attempts will be made to keep the patient comfortable without prolonging his life.
- D) The patient will be immediately transferred to hospice.
**Answer:** C) All attempts will be made to keep the patient comfortable without prolonging his life.
---
### 7. What nursing intervention is appropriate for a patient on a morphine drip who continues to show
signs of pain?
- A) Increase the morphine dosage until no signs of pain or discomfort are present.
- B) Increase the morphine drip, but if the patient's respiratory rate drops below 10 breaths/min, return
to the original dosage.
- C) Gradually decrease the morphine and switch to Versed to avoid respiratory depression.
, ESTUDY
- D) Ask the family to leave the room because their presence is causing undue stress to the patient.
**Answer:** A) Increase the morphine dosage until no signs of pain or discomfort are present.
---
### 8. The decision to remove a patient from the ventilator should be discussed with:
- A) The cardiac monitor should be left on so everyone will know when the patient has died.
- B) Opioids, sedatives, and neuromuscular blocking agents should be discontinued just before removing
the ventilator.
- C) The family and health care team should decide the best method for removing the ventilator:
terminal wean versus immediate extubation.
- D) If terminal weaning is selected, the family should be sent to the waiting room until the ventilator has
actually been removed.
**Answer:** C) The family and health care team should decide the best method for removing the
ventilator: terminal wean versus immediate extubation.
---
### 9. Who should the physician approach to discuss decisions of care and possible DNR status?
- A) The patient
- B) The family
- C) The hospital legal system
- D) The hospital ethics committee
**Answer:** A) The patient
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Estudyr. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now