AACN CCRN (Adult) - Direct Care Eligibility Pathway CCRN-Adult Question # 24 Topic 3 Discussion
CCRN-Adult Exam Topic 3 Question 24 Discussion:
Question #: 24
Topic #: 3
A patient who sustained a C4 fracture requests to be taken off the ventilator 3 days after the initial injury, indicating, "I can't live hooked to this
machine." The nurse's best response to this patient would be,
A.
"Do you feel that you will be hooked up to this machine forever?"
B.
"Eventually your diaphragm will regain its function, allowing you to breathe independently."
C.
"Many quadriplegics live fulfilling lives as they adjust to their new lifestyle."
D.
"After you have started the rehabilitation process, your outlook will improve."
The best response is to assess the patient's feelings and understanding of their condition and prognosis. This response opens a dialogue and allows the nurse to provide education and emotional support based on the patient's specific concerns. Other responses may provide false reassurance or imply assumptions about the patient’s future without first understanding their current emotional state and concerns. References: AACN Adult CCRN Certification Review Course, AACN CCRN Exam Handbook.
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