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.”. .
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Unequal height of the shoulders is a common indication of scoliosis. This asymmetry is often observed when a person bends forward and is a key sign during scoliosis screening.
Choice B rationale
Increased concave curve of the thoracic spine is more indicative of kyphosis, not scoliosis. Scoliosis involves a lateral curvature of the spine rather than an increase in the concave curve.
Choice C rationale
Expansion of the upper intercostal spaces is not typically associated with scoliosis. This finding is more related to respiratory conditions and does not indicate spinal curvature.
Choice D rationale
Increased convex curve of the cervical spine indicates lordosis, a condition affecting the lower spine. It is not a sign of scoliosis, which involves a lateral curve rather than a convex or concave increase.
Correct Answer is A
Explanation
Choice A rationale
Restricting the number of visitors for clients can help reduce environmental stressors by minimizing noise and activity, creating a more calm and controlled environment conducive to healing.
Choice B rationale
Turning on loud music in client care areas is incorrect as loud noises can increase stress and anxiety in clients, hindering their recovery and comfort.
Choice C rationale
Offering the clients many choices regarding care is incorrect. Too many choices can overwhelm clients, increasing stress and making decision-making difficult, especially in an acute care setting.
Choice D rationale
Assigning different nurses to provide care for clients each day is incorrect. Consistency in caregivers helps build trust and rapport, reducing stress for the clients by providing a familiar and predictable routine. .
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