Question

In: Nursing

Mrs. W is an 81-year-old woman with recurrent colon cancer with liver metastases admitted to the...

Mrs. W is an 81-year-old woman with recurrent colon cancer with liver metastases
admitted to the hospital for chemotherapy. Because of her poor prognosis, you approach
her about a DNR order, but she requests to be "a full code." Can you write a DNR order
anyway?
A. No, because the patient requested “a full code.”
B. Yes, because Mrs. W is elderly, has a diagnosis of recurrent metastatic
cancer, and the chance of a successful DNR is 0%.
C. No, because the CPR for Mrs. W and in her condition could not be called
"futile."
D. Yes, because hospital policy allows doctors to write a DNR in this
situation.

Solutions

Expert Solution

Answer - A) No, because the Patient requested

“ a full code”


Related Solutions

A retired 81-year old man with metastatic colon cancer was admitted to an acute care hospital with pneumonia and congestive heart failure (CHF).
A retired 81-year old man with metastatic colon cancer was admitted to an acute care hospital with pneumonia and congestive heart failure (CHF). After his acute hospitalization, he was transferred to a skilled nursing unit to complete antibiotic therapy. Cancer chemotherapy was scheduled to begin after discharge. Three days after transfer to the skilled nursing unit, the patient complained of nausea. Intravenous ondansetron (Zofran) was ordered. Approximately one hour after the first dose of ondansetron, he was found unresponsive and...
A 36-year-old woman was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease...
A 36-year-old woman was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease (IBD) and possible small bowel obstruction (SBO). She is married, and her husband and son are supportive, but she has no other family in the area. She has had IBD for 15 years and has been taking mesalamine for 15 years and prednisone 40 mg/day for the past 5 years. She is very thin; at 5 feet 2 inches she weighs 86 pounds and...
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel...
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease (IBD) and possible small bowel obstruction (SBO). C.W. is married, and her husband and 11-year-old son are supportive, but she has no extended family in-state. She has had IBD for 15 years and has been taking mesalamine (Asacol) for 15 years and prednisone 40 mg/day for the past 5 years. She is very thin; at 5 feet 2 inches she weighs 86 pounds...
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel...
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease (IBD) and possible small bowel obstruction (SBO). C.W. is married, and her husband and 11-year-old son are supportive, but she has no extended family in-state. She has had IBD for 15 years and has been taking mesalamine (Asacol) for 15years and prednisone 40 mg/day for the past 5 years. She is very thin; at 5 feet 2 inches she weighs 86 pounds and...
.    Mrs. E., a 70-year-old Hispanic woman, was admitted to the medical unit with complaints of...
.    Mrs. E., a 70-year-old Hispanic woman, was admitted to the medical unit with complaints of increasing dyspnea on exertion. Subjective Data ·     Had a severe MI at 58 years of age ·     Has experienced increasing dyspnea on exertion during the last 2 years ·     Recently had a respiratory tract infection, frequent cough, and edema in legs 2 weeks ago ·     Cannot walk two blocks without getting short of breath ·     Has to sleep with head elevated on three pillows ·     Does not always remember to...
Mrs Dean is 75-year - old woman admitted to the hospital for a small bowel obstruction....
Mrs Dean is 75-year - old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydrmophone 0.2 mg every 4 hours as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEg/L Qn 1: what are possible causes of a...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a simple fall, complaining of hip pain and inability to walk. The affected right leg appeared internally rotated. Passive motion was painful, and active movement was impossible secondary to pain. The patient has several chronic medical problems including as DM, Hypertension and Ischemic Heart Disease. Treatment in the Accident and Emergency Department was centered around her diagnosis of a fractured right femur. She lives in...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a simple fall, complaining of hip pain and inability to walk. The affected right leg appeared internally rotated. Passive motion was painful, and active movement was impossible secondary to pain. The patient has several chronic medical problems including as DM, Hypertension and Ischemic Heart Disease. Treatment in the Accident and Emergency Department was centered around her diagnosis of a fractured right femur. She lives in...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a simple fall, complaining of hip pain and inability to walk. The affected right leg appeared internally rotated. Passive motion was painful, and active movement was impossible secondary to pain. The patient has several chronic medical problems including as DM, Hypertension and Ischemic Heart Disease. Treatment in the Accident and Emergency Department was centered around her diagnosis of a fractured right femur. She lives in...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a simple fall, complaining of hip pain and inability to walk. The affected right leg appeared internally rotated. Passive motion was painful, and active movement was impossible secondary to pain. The patient has several chronic medical problems including as DM, Hypertension and Ischemic Heart Disease. Treatment in the Accident and Emergency Department was centered around her diagnosis of a fractured right femur. She lives in...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT