A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?
Moist mucous membranes
Tachycardia
Irregular respirations
Hypertension
The Correct Answer is C
Explanation:
A. Moist mucous membranes - This is unlikely in an end-of-life scenario. As death approaches, mucous membranes often become dry due to decreased fluid intake and decreased body function.
B. Tachycardia - Tachycardia, or a rapid heart rate, can be a common finding as death nears. It can result from various factors such as dehydration, fever, pain, or the body's response to stress.
C. Irregular respirations - Irregular respirations, including periods of apnea or agonal breathing (gasping, irregular, or shallow breaths), are typical findings in the end-of-life stage. These irregularities are part of the body's natural process as it shuts down.
D. Hypertension - Hypertension is less common in the end-of-life phase. Typically, blood pressure decreases as the body's systems begin to fail.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation:
A. Questioning: This step involves asking relevant questions to gather information and clarify understanding. It's about exploring the problem or situation, identifying key issues, and seeking information to guide decision-making and problem-solving.
B. Creativity: This step involves generating new ideas, solutions, or perspectives to address a problem or situation. It often involves thinking outside the box, considering alternative approaches, and fostering innovation in problem-solving.
C. Analysis: This step involves examining and evaluating information, data, or evidence to understand its meaning, relevance, and implications. It includes breaking down complex information into manageable parts, identifying patterns or relationships, and drawing conclusions based on evidence.
D. Intuition: This step involves relying on gut feelings, instincts, or hunches to guide decision-making or problem-solving. While intuition can be a valuable aspect of critical thinking, it is not specifically focused on interpreting data but rather on using intuitive insights in combination with other critical thinking skills.
Correct Answer is A
Explanation
Explanation:
A. Spirituality decreases feelings of depression:
This statement is generally accurate. Many studies and anecdotal evidence suggest that spirituality can have a positive impact on mental and emotional well-being, including reducing feelings of depression and providing a sense of peace and comfort.
B. Spirituality increases feelings of hopelessness:
This statement is not typically supported by research or clinical observations. Spirituality often fosters feelings of hope, meaning, and purpose, which can counteract feelings of hopelessness commonly experienced by individuals facing end-of-life challenges.
C. Spirituality increases the desire to hasten death:
There is limited evidence to support this statement. In fact, spirituality often provides individuals with a sense of resilience, acceptance, and coping mechanisms that may reduce the desire to hasten death. However, individual beliefs and experiences can vary widely.
D. Spirituality decreases quality of life:
This statement is generally inaccurate. For many individuals, spirituality enhances quality of life by providing a sense of meaning, connection, and comfort, especially during challenging times such as end-of-life care.
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