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 D

Explanation

A) Taking pancrelipase is important for digestion in clients with cystic fibrosis, but it is not directly related to postural drainage. This medication is taken with meals to help with nutrient absorption rather than respiratory care.

B) Completing oral hygiene is generally good practice for overall health but does not specifically prepare the client for postural drainage. It does not impact the effectiveness of the drainage technique.

C) Eating a meal right before postural drainage is not advisable, as it may cause discomfort during the procedure. It's often recommended to wait after eating to allow for better clearance of mucus.

D) Using an albuterol inhaler prior to postural drainage is beneficial because it helps to open the airways, making it easier to clear mucus during the procedure. This action optimizes the effectiveness of postural drainage and is a standard practice in managing cystic fibrosis.

4o mini

A. Obtain a trough level 30 min after the medication infusion. B. Inject 1% lidocaine prior to each dose. C. Give the dose over 60 min. D. Administer the medication undiluted.

Correct Answer is C

Explanation

A. Obtain a trough level 30 min after the medication infusion: Trough levels should be drawn just before the next dose, not 30 minutes after the infusion. This timing ensures accurate measurement of the drug’s lowest concentration in the bloodstream.

B. Inject 1% lidocaine prior to each dose: While lidocaine may help reduce discomfort at the injection site, it is not a standard practice for all patients receiving vancomycin and does not address the risk of systemic adverse reactions.

C. Give the dose over 60 min: Administering vancomycin over a period of at least 60 minutes is essential to minimize the risk of infusion-related reactions, such as "red man syndrome," which can occur if the drug is infused too quickly.

D. Administer the medication undiluted: Vancomycin should always be diluted according to guidelines before administration to reduce the risk of irritation to the veins and potential adverse reactions. Administering undiluted increases the risk of complications.

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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 caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage?

Correct Answer is D

Explanation

A nurse is planning to administer vancomycin IV to a client. Which of the following actions should the nurse take to reduce the risk of an adverse reaction to the vancomycin?

Correct Answer is C

Explanation

A nurse is caring for a client who speaks a different language than the nurse and is using an interpreter. Which of the following actions should the nurse take when working with the interpreter?

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