A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make?

"Do you need information on hospice care?"

"Do you need a prescription for an antianxiety medication?"

"Would you like to talk to a counselor about advance directives?"

"Would you like to speak to a spiritual advisor?"

Answer and Explanation

The Correct Answer is D

A. "Do you need information on hospice care?" While hospice care is important for terminally ill patients, this question may not directly address the client's feelings of depression or their immediate emotional needs.

B. "Do you need a prescription for an antianxiety medication?" This statement may not be appropriate at this time, as it suggests a focus on medication rather than exploring the client's feelings. It’s important to first assess the client’s emotional needs and discuss therapy options.

C. "Would you like to talk to a counsellor about advance directives?" This question shifts the focus from the client's feelings of depression to advance care planning, which may not be the most relevant topic at this moment.

D. "Would you like to speak to a spiritual advisor?" This statement acknowledges the client's emotional state and offers a supportive option for exploring feelings of depression, which can be beneficial for those facing terminal illness. Spiritual support can provide comfort and help the client process their emotions during this difficult time.

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Correct Answer is A

Explanation

A) Doxorubicin hydrochloride: This medication is an anthracycline chemotherapy agent and is considered a hazardous drug. It requires special handling and procedures to manage spills, as it can pose risks to both healthcare workers and the environment. Following facility protocols for biohazardous material spills is essential.

B) Metronidazole: While metronidazole is an antibiotic, it does not typically require the same level of handling as hazardous medications like doxorubicin. It is not classified as a biohazardous material.

C) Ampicillin sodium: This is a penicillin antibiotic and, while it requires standard precautions, it is not considered a hazardous drug. Therefore, it does not necessitate the same stringent procedures for spills.

D) Pheroin: It seems there might be a typographical error here, as "pheroin" does not refer to a known medication. If referring to "heroin," it's an illegal substance and would be handled under specific legal protocols, but not typically categorized as a biohazardous material spill in a healthcare context.

A. Phlebitis B. Extravasation C. Infiltration D. Circulatory overload

Correct Answer is A

Explanation

A) Phlebitis: The presence of redness and warmth around the peripheral catheter insertion site is indicative of phlebitis, which is inflammation of the vein. This condition can result from mechanical irritation, chemical irritation from the infusion, or infection. It is crucial to monitor and document these findings promptly.

B) Extravasation: This occurs when intravenous (IV) fluids or medications leak into the surrounding tissue, causing tissue damage. Symptoms typically include pain, swelling, and possible blistering, rather than just redness and warmth.

C) Infiltration: This refers to the unintentional infusion of fluid into the surrounding tissue due to the catheter becoming dislodged or puncturing the vein. It is characterized by swelling, coolness, and tenderness at the site rather than warmth and redness.

D) Circulatory overload: This condition results from excessive fluid volume in the circulatory system, leading to symptoms such as shortness of breath, hypertension, and peripheral edema. It is not associated with localized redness and warmth at the catheter site.

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A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an IV medication to a client and accidently punctures the IV bag, causing the medication to leak on the counter. Which of the following medications requires the nurse to follow facility procedures in the safe handling of a biohazardous material spill?

Correct Answer is A

Explanation

A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?

Correct Answer is A

Explanation

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