Care for an adolescent

You are the nurse providing care for an adolescent who was recently diagnosed with diabetes type 1. Remember in providing care to a pediatric client, you must also consider the family. Questions (Choose 3 to answer based on your assigned client) #1 List 3 activity statements in Management of Care that you should consider as the nurse when providing care to your assigned client. Provide a rationale for each statement. You may copy and paste the statement from the NCLEX test plan, but your rationale should be unique. #2 List 3 activity statements in Safety and Infection Control that you should consider as the nurse when providing care to your assigned client. Provide a rationale for each statement. You may copy and paste the statement from the NCLEX test plan, but your rationale should be unique. #3 List 3 activity statements in Health Promotion and Maintenance that you should consider as the nurse when providing care to your assigned client. Provide a rationale for each statement. You may copy and paste the statement from the NCLEX test plan, but your rationale should be unique. #4 List 3 activity statements in Psychosocial Integrity that you should consider as the nurse when providing care to your assigned client. Provide a rationale for each statement. You may copy and paste the statement from the NCLEX test plan, but your rationale should be unique. #5 List 3 activity statements in Basic Care and Comfort that you should consider as the nurse when providing care to your assigned client. Provide a rationale for each statement. You may copy and paste the statement from the NCLEX test plan, but your rationale should be unique. #6 List 3 activity statements under Pharmacological and Parenteral Therapies that you should consider as the nurse when providing care to your assigned client. Provide a rationale for each statement. You may copy and paste the statement from the NCLEX test plan, but your rationale should be unique. #7 List 3 activity statements in Reduction of Risk Potential that you should consider as the nurse when providing care to your assigned client. Provide a rationale for each statement. You may copy and paste the statement from the NCLEX test plan, but your rationale should be unique. #8 List 3 activity statements in Physiological Adaptation that you should consider as the nurse when providing care to your assigned client. Provide a rationale for each statement. You may copy and paste the statement from the NCLEX test plan, but your rationale should be unique. Part 2 Dwayne comes into the ER with complaints of cough, shortness of breath, and chest discomfort. Nadine is the nurse and starts taking the patient’s history; Dwayne informs Nadine that he has been living on the streets for the last year after losing his job. He tells Nadine that he does not even know why he came to the hospital because he does not want anything done because he also has pancreatic cancer. Dwayne reports that he would have been on a transplant list, but he had no way of making the appointments due to living conditions. . He also tells her that he never wants to be a burden on society by being on a breathing machine or having a feeding tube. Nadine asks the patient if he has a living will and he informs her that he did at one time, but longer has one. He tells Nadine that he has DNR tattooed on his chest to make sure no one attempts to save his life. He asks Nadine if the hospital can give him a new living will so he can sign it in case something happens. He reports that he has no immediate family. Nadine tells him she will bring the paperwork in for him to review the living will when she finishes his health history. The patient reports that he knows he is supposed to be on blood pressure medications, but he cannot afford the medications and he has no safe place to keep them. Nadine finishes the history and leaves the room. Within a minute of Nadine leaving the room, Dwayne’s EKG shows ventricular fibrillation. A code is called and when Nadine arrives in the room, the physician is directing the code, Nadine tells the physician that the patient is homeless, has no family, and requested to be a DNR, but he coded before she could get him the paperwork to sign. After 30 minutes, the physician stops the code due to futility and pronounces Dwayne’s time of death. Applying the principle of autonomy to Dwayne, has his freedom to make the decision to be a DNR been violated? Apply the principle of beneficence to Nadine and the ER physician. Is it right that all life-saving techniques are being performed on Dwayne when he goes into ventricular fibrillation? What is meant by “the code is stopped due to futility?” On what basis should someone receive a transplant? What are the ethical issues regarding transplantation?
From nclex test plan