A nurse is caring for a client in the emergency department who is actively dying from a catastrophic injury. Which of the following is the priority in planning care for this client?
Discussing organ donation with the family
Communicating sensitively with the client and family
Creating a plan for pain relief, nutrition, and hydration
Contacting the family's spiritual advisor
The Correct Answer is B
A. "Discussing organ donation with the family": While organ donation is important, it is not the priority in the setting of an actively dying client. The primary concern at this stage should be addressing the immediate needs of the client and their family, focusing on emotional support and comfort.
B. "Communicating sensitively with the client and family.": When caring for a client who is actively dying, providing emotional support and clear communication with the family is critical. Sensitively addressing the family’s concerns and the client’s comfort is essential in this stage of care.
C. "Creating a plan for pain relief, nutrition, and hydration.": While ensuring pain relief is important, in the context of an actively dying patient, the focus should primarily be on comfort rather than ongoing interventions like nutrition and hydration, which may no longer be beneficial.
D. "Contacting the family's spiritual advisor.": While spiritual support is valuable, it should not be the first priority. Ensuring the client’s comfort and providing emotional support to the family should be prioritized initially, and the spiritual advisor can be contacted afterward if desired.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Pancreatic cancer doesn't usually present as an adenocarcinoma.": Pancreatic cancer most commonly arises from the exocrine glands and is typically classified as an adenocarcinoma. It is the most frequent histological type found in pancreatic malignancies.
B. "Colorectal adenocarcinomas tend to have high treatment response rates.": Treatment response in colorectal adenocarcinoma depends heavily on the stage at diagnosis. While early-stage tumors may respond well, advanced stages often have lower responsiveness and poorer outcomes.
C. "Many brain tumors are adenocarcinomas.": Primary brain tumors are typically glial in origin, such as astrocytomas or glioblastomas. Adenocarcinomas rarely originate in the brain and are more often found in epithelial tissues like the lungs, colon, or prostate.
D. "Most prostate cancers are slow-growing adenocarcinomas.": Prostate cancer most often originates from glandular tissue and is classified as an adenocarcinoma. These tumors commonly progress slowly, especially in older adults, and may be monitored for years without requiring aggressive treatment.
Correct Answer is ["A","D","E","F"]
Explanation
A. Obesity increases the risk of obstructive sleep apnea: Obesity is a significant risk factor for obstructive sleep apnea (OSA). Excess fat tissue, especially around the neck and throat, can obstruct the airway during sleep, leading to breathing difficulties. Managing obesity can help reduce the severity of OSA and prevent its development.
B. Alcohol does not affect the risk of obstructive sleep apnea: Alcohol actually increases the risk of obstructive sleep apnea. It relaxes the muscles in the throat, which can lead to airway obstruction during sleep. This makes alcohol consumption a modifiable risk factor for OSA, and it should be avoided by individuals at risk.
C. Sedatives do not impact the risk of obstructive sleep apnea: Sedatives, like alcohol, can relax the muscles of the throat and contribute to airway collapse, which can worsen the symptoms of obstructive sleep apnea. Therefore, sedatives do impact the risk of OSA, and they should be avoided, especially in individuals with existing sleep apnea.
D. CPAP compliance enhances quality of sleep: Continuous Positive Airway Pressure (CPAP) therapy is the primary treatment for obstructive sleep apnea. Adherence to CPAP therapy significantly improves sleep quality by keeping the airway open during sleep. CPAP has been shown to reduce daytime fatigue, improve cognitive function, and prevent the complications of untreated OSA.
E. Smoking increases the risk of obstructive sleep apnea: Smoking increases the risk of obstructive sleep apnea by causing inflammation and fluid retention in the upper airway. These changes can make it more likely for the airway to collapse during sleep, exacerbating OSA symptoms. Quitting smoking can help reduce the severity of OSA.
F. Positional therapy enhances client comfort: Positional therapy involves sleeping in positions that prevent the airway from becoming obstructed, such as avoiding sleeping on the back. This approach can improve comfort and reduce symptoms in individuals with mild obstructive sleep apnea. While it may not be effective for all patients, it can be an important part of managing OSA,
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