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 D

Explanation

A. Cryosurgery involves freezing the lesion and is typically used for benign lesions.
Malignant melanoma often requires more extensive treatment.
B. Radiation therapy may be used in certain cases, but surgical excision is often the primary treatment for malignant melanoma.
C. Chemotherapy is not the primary treatment for localized malignant melanoma but may be used for advanced cases or metastatic disease.
D. Surgical excision is the primary treatment for localized malignant melanoma, aiming to remove the tumor along with a margin of normal tissue.

A. "Let's talk about what activities you are going to participate in tomorrow." B. "This is something you should discuss with your parents when they return." C. "You need to focus on getting better instead of what may or may not happen." D. "Let's talk about it. Tell me more about what you are thinking."

Correct Answer is D

Explanation

A. Avoids the child's question and deflects to a future topic.
B. Defers the conversation and may not address the child's immediate concerns.
C. Minimizes the child's feelings and concerns about the future.
D. Encourages open communication and allows the child to express feelings and fears.

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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 reinforcing teaching with a client who has a superficial lesion. A biopsy indicates malignant melanoma. Which of the following treatment choices should the nurse include in the teaching?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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