A hospice nurse is caring for a client who is near the end of life and has noisy breathing. Which of the following actions should the nurse take?

Use oropharyngeal suctioning PRN.

Turn the client every 2 hours.

Administer an antiemetic.

Insert an indwelling urinary catheter.

Answer and Explanation

The Correct Answer is B

Choice A reason: Oropharyngeal suctioning may be necessary if secretions are causing distress, but it can also be uncomfortable and should be used cautiously.

Choice B reason: Turning the client can help manage noisy breathing by allowing secretions to drain and is a non- invasive comfort measure.

Choice C reason: Antiemetics are used to manage nausea and vomiting, not noisy breathing.

Choice D reason: An indwelling urinary catheter may be considered for comfort if the client cannot use the bathroom, but it does not address noisy breathing.

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Correct Answer is ["B","D","E","J"]

Explanation

Choice A - Shower: The presence of a walk-in shower with a shower chair suggests that the client's needs have been considered, and this setup should not present complications.

Choice B - Flooring: The highly polished wood floors are a significant risk for slipping, especially for someone recovering from knee surgery. This type of flooring can be very slippery, particularly if the client is using assistive devices like crutches or a walker.

Choice C - Home Entrance: The front entrance has two steps, but a ramp has been added, and there is sufficient lighting. This adaptation should make the entrance safe for the client.

Choice D - Inside Walking Pathway: The living room's excessive furniture creating narrow pathways can be problematic for the client's mobility and increases the risk of falls or bumping into furniture, which can be dangerous post-surgery.

Choice E - Rugs: Non-secure rugs throughout the house are a tripping hazard. They can easily cause the client to slip or trip, leading to falls.

Choice F - Inside Lighting: The presence of night lights in the hallway and bathroom suggests that inside lighting is adequate and should not present complications.

Choice G - Home Assistance: The client lives with an adult child who is retired, which implies that there is some level

of home assistance available.

Choice H - Toilet: The toilet is elevated, which is beneficial for someone with knee issues as it reduces the strain on the knees when sitting down or standing up.

Choice I - Bedroom Location: The client’s bedroom being on the first floor is advantageous as it eliminates the need to climb stairs.

Choice J - Handrails: The absence of handrails in the bathroom is a safety concern. Handrails provide support and stability, which are crucial for preventing falls in the bathroom, especially post knee surgery.

A. A mentoring program for new staff members B. A zero-tolerance policy by the employer C. Regular social activities for employees D. Training sessions about assertive communication

Correct Answer is B

Explanation

Choice A reason: While mentoring can be supportive, it does not directly address the prevention of workplace violence.

Choice B reason: A zero-tolerance policy sets a clear standard and expectation that violence will not be tolerated, which is essential for prevention.

Choice C reason: Social activities may improve morale but do not directly prevent workplace violence.

Choice D reason: Assertive communication training can help in managing conflict but may not be sufficient to prevent violence.

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A hospice nurse is caring for a client who is near the end of life and has noisy breathing. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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