A nurse is assisting in providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?

Discussing the client's resting times with the family

Ensuring that the client and their family are kept informed about the client's care

Being aware of the client's wishes regarding care

Scheduling periods of rest for the client

Answer and Explanation

The Correct Answer is C

A. Discussing rest times with the family is important but is not the priority in managing MODS.

B. Keeping the client and family informed is crucial, but the priority is to understand and respect the client's wishes regarding their care.

C. In a client with MODS, understanding and respecting the client’s wishes, particularly regarding end-of-life care, is the priority. This ensures that care aligns with the client’s values and goals.

D. Scheduling rest is essential for managing fatigue and conserving energy but does not take precedence over respecting the client's care preferences.

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Correct Answer is B

Explanation

A. Nitroglycerin does not dissolve blood clots; it works by dilating blood vessels to increase blood flow.

B. Nitroglycerin dilates the coronary arteries, increasing oxygen delivery to the heart muscle and relieving angina, which is caused by reduced blood flow to the heart.

C. Nitroglycerin is not used to relieve nausea or prevent vomiting; it is used primarily to manage chest pain.

D. Nitroglycerin is not a bronchodilator; it does not affect the airways directly but rather improves blood flow to the heart.

A. Administer the medication. B. Review the effects of the pain medication. C. Determine the location of the pain. D. Reposition the client.

Correct Answer is C

Explanation

A. Administering pain medication should be done after assessing the pain to ensure appropriate treatment.

B. Reviewing the effects of the pain medication is important but should be done after determining the specifics of the pain.

C. The first step in pain management is to assess the pain, including its location, intensity, and characteristics, to ensure that the appropriate treatment is provided.

D. Repositioning the client might help alleviate pain, but it should be considered after assessing the pain.

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A nurse is assisting in providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, "Why am I taking nitroglycerin?" Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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