A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?
The client may benefit from additional laboratory tests to monitor disease progression.
The client may experience pain and discomfort due to the progression of their illness.
The client may need increased physical therapy sessions to maintain mobility.
The client may have elevated blood pressure due to an acute exacerbation of their condition.
The Correct Answer is B
A. Additional laboratory tests: While monitoring is essential, at this stage, the priority is comfort, not disease progression.
B. Pain and discomfort: Mrs. Thompson is nearing the end of life and likely experiencing pain due to her advanced metastatic cancer. Pain management should always be a priority in palliative care.
C. Physical therapy: Physical therapy is not typically a priority in the end-of-life stage where the focus is on comfort rather than mobility.
D. Elevated blood pressure: This is unlikely to be the primary concern at this stage. Blood pressure is usually low, and interventions should be focused on comfort and symptom relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Determine the location of the pain. The nurse should first assess the client's pain, including its location, intensity, quality, and factors that alleviate or exacerbate it. This assessment is critical to determining the most appropriate intervention and evaluating the effectiveness of the treatment.
B. Reposition the client: Repositioning is a valid nursing intervention for managing pain caused by discomfort or poor positioning. However, it should not be the first action, as the nurse must first assess the pain to determine if repositioning alone is sufficient or if medication is necessary.
C. Review the effects of the pain medication: While reviewing the effects of the prescribed medication is important to ensure its appropriateness and safety, this step is part of preparation for medication administration. It is not the first action; assessment of the client's pain takes priority.
D. Administer the medication: Administering pain medication without assessing the client's pain is not appropriate. Pain management should be individualized, and assessment ensures that the prescribed medication is suitable for the client's current pain and condition.
Correct Answer is ["A","B","D","E"]
Explanation
A. Use materials written in the client's spoken language. Providing information in the client's preferred language ensures understanding and facilitates informed decision-making.
B. Choose materials that include culturally relevant information and examples. Cultural relevance helps the client relate to and understand the information in a meaningful way.
C. Use materials written at a twelve-grade level: Educational materials should generally be written at a 5th to 6th-grade reading level to ensure accessibility for a broad audience.
D. Use pictures. Pictures can enhance comprehension by providing visual aids, especially for clients with limited language proficiency.
E. Provide a variety of educational materials. Offering materials in multiple formats (e.g., written, visual, or video) accommodates different learning preferences.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.