A hospice nurse is caring for a patient who has terminal cancer and is receiving hospice care for stage 4 metastatic breast cancer.
The patient experiences excruciating pain and is scheduled for morphine 10mg IM every 6 hours. The patient is sleeping, and the medication is due.

What action should the nurse take?

Hold the pain medication until the patient wakes up.

The patient should be given the scheduled pain medication.

Call the family and ask if the patient would like to be woken up to have their pain medication.

The patient has become addicted to the medication and is sleeping the last dose off.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Holding the pain medication until the patient wakes up is not the best choice. Pain can disrupt sleep, and it’s important to keep the patient as comfortable as possible. If the patient is sleeping, it may be because the pain is well-controlled, and delaying the medication could lead to a return of pain.
Choice B rationale
The patient should be given the scheduled pain medication. This is the best choice because it ensures that the patient’s pain is managed effectively. Even if the patient is sleeping, the medication should be given to prevent the pain from returning.
Choice C rationale
Calling the family and asking if the patient would like to be woken up to have their pain medication is not the best choice. The nurse should make this decision based on the patient’s pain level and the medication schedule, not on the family’s preferences.
Choice D rationale
The statement that the patient has become addicted to the medication and is sleeping the last dose off is not accurate. Addiction is a complex condition characterized by compulsive drug use despite harmful consequences. In this case, the patient is receiving the medication for a legitimate medical reason, and there is no indication of addiction.

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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale
An electrical cord on the floor over a walkway can pose a tripping hazard, increasing the risk of falls. It’s important to keep walkways clear of any obstacles to prevent falls.
Choice B rationale
Using a cane to ambulate does not necessarily increase the risk of falls. In fact, canes are often used to improve balance and stability, reducing the risk of falls. However, it’s important that the cane is used correctly and is the right height for the individual.
Choice C rationale
Unsecured throw rugs, especially over a slippery surface like a tile floor, can easily cause someone to slip and fall. It’s recommended to secure rugs with non-slip backing or remove them entirely from high-traffic areas.
Choice D rationale
Macular degeneration can lead to vision loss, which can increase the risk of falls. Individuals with vision impairments may not be able to see hazards in their path, making them more prone to falls.

A. Living in poverty B. Motor vehicle accident C. Being a victim of a crime D. Loss of a loved one E. Loss of a loved one

Correct Answer is A

Explanation

Choice A rationale
Chronic stress is a prolonged, often overwhelming feeling of stress that can negatively impact a person’s daily life. It can be caused by various factors, including high-pressure jobs, challenging relationships, and living in poverty. Living in poverty is a long-term situation that can cause chronic stress due to the constant worry about meeting basic needs such as food, shelter, and healthcare. This continuous worry and fear can lead to chronic stress.
Choice B rationale
A motor vehicle accident is typically an acute stress event. While it can cause significant stress at the moment, it is usually not a long-term stressor unless it results in severe injury or trauma that significantly impacts a person’s daily life.
Choice C rationale
Being a victim of a crime can indeed cause stress, but it is typically considered an acute stress event. However, if the crime results in long-term effects such as physical harm or psychological trauma, it could potentially lead to chronic stress.
Choice D rationale
The loss of a loved one can cause both acute and chronic stress. The initial loss can cause acute stress, and the subsequent grieving process can lead to chronic stress, especially if the individual has difficulty moving through the stages of grief. However, not everyone who loses a loved one will experience chronic stress.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a fall risk assessment for a client. Which of the following findings place the client at risk for a fall? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

A nurse is teaching a class about stress. The nurse should include that which of the following is an example of chronic stress?

Correct Answer is A

Explanation

A nurse is preparing to move a patient with left-sided weakness from a seated position in bed to a chair. What actions should the nurse take?

a nurse is providing care for a patient who reports experiencing flashbacks of a traumatic event that occurred a year ago. Which of the following stress-related disorders should the nurse identify that the patient is experiencing?

The provider orders fluid replacement for a dehydrated patient. The order entered is 1000 mL over 10 hours. If using an IV pump, what is the rate that the nurse should enter?

A nurse is educating a group of senior citizens about the physiological changes that occur with aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.)

A nurse is teaching a class about physiological changes to hearing in older adult patients. Which of the following should the nurse include?

A nurse is assessing a patient who is in the active stage of dying. What are the signs and symptoms of impending death? (Select all that apply)

In the context of outpatient care for a client diagnosed with Bell’s palsy, which of the following statements, if made by the client, would indicate the need for further education?