An ICU nurse is caring for a client, age 33, who was involved in a car accident last night. The client has been intubated and is on mechanical ventilation. The client is in critical condition and after careful assessment, the physician determines that the client will be a quadriplegic if they survive. The client is unable to communicate, but the person with the client, who says they are their spouse, has determined that it would be best to stop treating the client and take them off of mechanical ventilation. The healthcare team cannot find documentation of any medical directives related to the client's wishes. Which of the following is the next most appropriate action for the nurse to take?

 It is 0700 hrs and the nurse has just received handover report for 4 clients. 

 Which client should the nurse attend to first?

A client is recovering from a recent spinal cord injury. The acute phase is over and the nurse and client are planning for home bladder management. The nurse educates the client on everything they should know surrounding the use of an indwelling catheter or intermittent self-catheterization as options for managing urinary elimination. The client expresses that they would prefer not to perform intermittent self-catheterization. 

A medical nursing unit has a high staff turnover rate due to a demanding workload and limited staffing. Which of the following examples would support a transformative leadership style on this unit?

A nurse in the intensive care unit (ICU) is providing care to a client who is mechanically ventilated. When using relational ethics as a guide to nursing practice, how can the nurse recognize the role of embodiment from this perspective?

A 2-year-old client is brought into the emergency department (ED) by a single-parent who reports that their child was playing with a candle as they stepped out of the room for a minute. The client presents with scald burns at different stages of healing on their arms and legs. Which action is the most important legal responsibility of the nurse?

A nurse is

caring for a geriatric client with heart failure. The physician wrote a

do-not-resuscitate (DNR) order for this client. Which of the following

statements by the client requires the nurse to provide teaching about a DNR

order?

An unconscious client has a legally appointed proxy to ensure the implementation of their advance directive. The nurse reports critically low hemoglobin to the health care provider (HCP) and prepares to administer packed red blood cells. The proxy states the client is not to have any blood products. What could the nurse be charged with if they proceed with initiation of the blood transfusion?

A client is preparing for discharge after a 3-month stay following an anaphylactic reaction. Along with multiple medicinal prescriptions, the client states the need for alternative medicine and herbal supplements upon discharge. 

 Which of the following is an appropriate professional that the HCP can suggest the client to see?

The nurse on a neurological unit has been given 4 clients. 

 Which should they assess first?