A nurse is providing teaching to a client who has a new diagnosis of amyotrophic lateral sclerosis (ALS). Which of the following client statements indicates an understanding of the teaching?
"I need to make sure other members of my family get immunized against the disease."
"Since I will stay in the hospital, I should begin the process of selling my home."
"I will need to begin hospice care immediately."
"I would like to talk to someone about creating a living will."
The Correct Answer is D
Choice A rationale:
Other family members or close contacts may consider immunization, but it is not directly related to the client's ALS diagnosis.
Choice B rationale:
Since the client has a new diagnosis of ALS, the immediate focus should not be on selling their home, but rather on understanding and managing the disease.
Choice C rationale:
Requiring hospice care immediately is not a standard recommendation for a client with ALS. The client's disease progression and needs will be assessed to determine the appropriate level of care.
Choice D rationale:
Creating a living will is important for clients with a terminal illness like ALS, as it allows them to express their wishes for medical treatment and care preferences in advance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Increased thirst is a common manifestation during the dying process due to dehydration and reduced fluid intake.
Choice B rationale:
Decreased secretions can occur as the body's systems gradually shut down during the dying process.
Choice C rationale:
Flushing of the extremities, also known as mottling, can occur due to poor circulation as the body's systems shut down.
Choice D rationale:
Periods of apnea or irregular breathing patterns can occur as the body's respiratory system becomes less effective during the dying process.
Correct Answer is C
Explanation
Choice A rationale:
Placing the newborn under a radiant warmer is not directly related to addressing breastfeeding-related jaundice.
Choice B rationale:
Supplementing breastfeeding with formula is not the first-line approach and may interfere with establishing successful breastfeeding.
Choice C rationale:
Breastfeeding-related jaundice can occur if the newborn is not effectively breastfeeding and not getting enough milk. Assessing the effectiveness of breastfeeding is important to address the underlying cause of jaundice.
Choice D rationale:
Administering Rho(D) immune globulin is unrelated to addressing jaundice in a breastfed newborn.
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