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 B
Explanation
Explanation:
A. It is not permissible because the provider should disclose laboratory results or findings to a client.
This statement is not accurate in this context. While it is true that healthcare providers are responsible for disclosing test results to clients, this responsibility is typically limited to the provider-patient relationship, not to family members of healthcare workers.
B. It is not permissible because there is no nurse-client relationship between the sibling and nurse.
This is the correct choice. In healthcare ethics and legal standards, privacy and confidentiality are essential. The nurse has a duty to maintain the confidentiality of patient information, and this duty extends to family members of patients. Since there is no official nurse-client relationship between the nurse and her sibling, accessing the sibling's diagnostic test results would violate the privacy and confidentiality rights of the sibling.
C. It is permissible because the sibling has paid for the service.
Payment for services does not override the principles of confidentiality and privacy in healthcare. Even if the sibling has paid for the service, it does not grant the nurse permission to access the sibling's medical information without proper authorization.
D. It is permissible because the client's sibling made the request.
The fact that the sibling made the request does not automatically make it permissible for the nurse to access the diagnostic test results. Confidentiality and privacy considerations are paramount in healthcare, and access to patient information is typically restricted to authorized individuals involved in the patient's care.
Correct Answer is ["A","B","E"]
Explanation
Explanation:
A. Improve communication among staff members:
This is an important goal related to patient safety as effective communication is crucial for providing safe and coordinated care. Improving communication helps prevent errors and ensures that critical information is shared among healthcare team members.
B. Correctly identify clients prior to administering medications:
This is a key patient safety goal as medication errors can have serious consequences for patients. Ensuring the correct identification of clients before medication administration helps prevent medication errors and enhances patient safety.
C. Increase job satisfaction for staff members:
While job satisfaction is important for staff well-being, it is not directly related to the National Patient Safety Goals. The NPSGs primarily focus on specific actions and protocols aimed at improving patient safety outcomes.
D. Educate clients about health promotion and prevention:
While patient education is valuable, it is not a specific National Patient Safety Goal. The NPSGs are typically focused on systematic changes and protocols within healthcare organizations to enhance patient safety.
E. Prevent catheter-associated urinary tract infections in clients:
This is a relevant National Patient Safety Goal as healthcare-associated infections, including catheter-associated urinary tract infections (CAUTIs), are a significant patient safety concern. Implementing strategies to prevent CAUTIs aligns with the NPSGs' goal of reducing healthcare-associated infections.
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