A nurse is reinforcing teaching about end-of-life care with the partner of a client.Which of the following statements should the nurse make?

"Encourage your partner to eat three large meals each day.”.

"Opioids will be restricted if your partner develops respiratory distress.”.

"We will use an electric blanket to keep your partner warm.”.

"Assume your partner can hear you, even if they do not respond.”. .

Answer and Explanation

The Correct Answer is D

Choice A rationale

Encouraging a partner to eat three large meals each day may not be appropriate in end-of-life care. Clients often have reduced appetite, and small, frequent meals are usually recommended to avoid overwhelming them.

Choice B rationale

Opioids are commonly used in end-of-life care to manage pain and distress. Even if respiratory distress occurs, opioids are not typically restricted, but rather adjusted to balance pain relief and respiratory function.

Choice C rationale

Using an electric blanket can pose safety risks, including burns or electrical hazards, especially if the client is unable to communicate discomfort. Instead, alternative methods such as warm blankets are safer.

Choice D rationale

Assuming the partner can hear even if they do not respond is important. Hearing is believed to be one of the last senses to fade, and speaking to the client can provide comfort and connection.

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Correct Answer is C

Explanation

Choice A rationale

Placing a thick layer of stool on the specimen card is incorrect. For fecal occult blood testing, a thin smear of stool is needed to accurately detect any hidden blood. A thick layer can obscure the test results and lead to false negatives.

Choice B rationale

Urinating prior to collecting the stool specimen is essential to prevent contamination. Urine can dilute the stool sample, potentially affecting the accuracy of the fecal occult blood test results.

Choice C rationale

Discontinuing supplements containing vitamin C 24 hours before the test is crucial. Vitamin C can interfere with the chemical reaction in fecal occult blood tests, leading to false-negative results by reducing the detectable levels of hemoglobin.

Choice D rationale

Refraining from consuming pork 7 days before the test is important because certain foods, including red meat like pork, can contain animal hemoglobin, potentially causing false-positive results in fecal occult blood tests.

A. Flex hips and knees when assisting the client to a standing position. B. Pivot on the foot farthest from the bed when assisting the client into the chair. C. Stand on the client's stronger side when moving the client into the chair. D. Raise the bed to waist level before moving the client.

Correct Answer is A

Explanation

Choice A rationale

Flexing hips and knees when assisting the client to a standing position provides a stable and balanced stance, reducing the risk of injury to both the nurse and the client. It ensures proper body mechanics and safety during the transfer.

Choice B rationale

Pivoting on the foot farthest from the bed when assisting the client into the chair is incorrect as it can cause instability and increase the risk of falls. It is important to pivot on the foot closest to the bed to maintain a stable center of gravity.

Choice C rationale

Standing on the client's stronger side when moving the client into the chair is not ideal because the nurse should provide support on the weaker side, ensuring the client is balanced and stable during the transfer.

Choice D rationale

Raising the bed to waist level before moving the client is a correct action to ensure proper body mechanics and reduce strain on the nurse's back. However, it is not as critical as ensuring proper support and stability during the transfer process. .

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A nurse is reinforcing teaching about end-of-life care with the partner of a client.Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching about fecal occult blood testing with a client.Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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