A nurse is caring for a client who is at the end of life. The client’s partner is concerned about using opioid narcotics to manage the client’s pain Which of the following statements should the nurse make?

The dosage of the opioid narcotic is unlimited.

Opioid narcotics are restricted for the client because of the risk for addiction.

Using opioid narcotics will limit options available for future management of pain.

The use of opioid narcotics is restricted to when death is imminent.

Answer and Explanation

The Correct Answer is C

A.   The dosage of opioid narcotics is not unlimited and should be carefully titrated to the client's pain level.
B.   Opioid narcotics are not restricted solely due to the risk of addiction, especially in end-of-life care where effective pain management is a priority.
C.   This statement emphasizes the importance of maintaining a stepwise approach to pain management, preserving options for effective pain control.
D.   The use of opioid narcotics is not restricted solely to when death is imminent; it depends on the client's pain and symptom management needs.

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Correct Answer is A

Explanation

A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.

A. Diminished urine output B. Cold clammy skin C. Unconsciousness D. Tachycardia

Correct Answer is D

Explanation

A. Diminished urine output is a later sign of hypovolemic shock and is associated with decreased perfusion to the kidneys.
B. Cold clammy skin is also a later sign of shock, indicating poor tissue perfusion.
C. Unconsciousness is a late sign of hypovolemic shock and occurs when there is significant impairment of cerebral perfusion.
D. Tachycardia is an early compensatory mechanism in response to hypovolemia, aiming to maintain cardiac output and perfusion to vital organs.

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A nurse is caring for a client who is at the end of life. The client’s partner is concerned about using opioid narcotics to manage the client’s pain Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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