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."
"We will use an electric blanket to keep your partner warm."
"Opioids will be restricted if your partner develops respiratory distress."
"Assume your partner can hear you, even if they do not respond."
The Correct Answer is D
Choice A Reason:
"Encourage your partner to eat three large meals each day." In end-of-life care, the focus shifts from large meals to providing comfort and meeting the patient's nutritional needs, which might not involve large meals due to potential decreased appetite or difficulty swallowing.
Choice B Reason:
"We will use an electric blanket to keep your partner warm. “While keeping the patient warm is essential, the use of an electric blanket might not always be appropriate due to the risk of burns or changes in sensation that can occur in some conditions.
Choice C Reason:
"Opioids will be restricted if your partner develops respiratory distress. “This statement might not convey the full context of pain and symptom management in end-of-life care. Opioids are often used judiciously to manage distressing symptoms, including pain and respiratory distress, under careful monitoring rather than being strictly restricted.
Choice D Reason:
"Assume your partner can hear you, even if they do not respond." This statement emphasizes the importance of communication and connection with the partner who may be unresponsive. Research suggests that hearing may persist even when a person is unable to respond, so speaking to the person respectfully and with care can provide comfort and support during this time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Choice A Reason:
Partial thromboplastin time (PTT): PTT is a test that evaluates the blood's ability to clot properly. While rheumatic fever can involve inflammation affecting various systems, it's not directly associated with significant changes in coagulation parameters like PTT.
Choice B Reason:
Blood urea nitrogen (BUN): BUN measures the amount of nitrogen in the blood that comes from urea, a waste product of the liver's metabolism of protein. It's commonly used to assess kidney function and hydration status. Rheumatic fever primarily involves inflammatory processes affecting the heart, joints, skin, and nervous system, and it typically doesn't have a direct impact on BUN levels.
Choice C Reason:
Erythrocyte sedimentation rate (ESR): Elevated ESR is a non-specific marker of inflammation and can be elevated in rheumatic fever due to the inflammatory response.
Choice D Reason:
C-reactive protein (CRP): Similar to ESR, CRP is an acute-phase reactant and tends to rise in response to inflammation, so elevated CRP levels can indicate an inflammatory process like rheumatic fever.
Choice E Reason:
Antistreptolysin O (ASO) titer: This test measures antibodies produced by the body against streptolysin O, a toxin produced by Streptococcus bacteria. Elevated ASO titers can indicate a recent streptococcal infection, which is a predisposing factor for rheumatic fever.
Correct Answer is B
Explanation
Choice A Reason:
Hyperactive reflexes are incorrect. Gasoline inhalation tends to affect the central nervous system and might result in CNS depression rather than hyperactivity, so hyperactive reflexes are less likely.
Choice B Reason:
Ataxia is correct.
Ataxia, which refers to a lack of muscle coordination or unsteady movements, can be an expected finding in individuals who have inhaled gasoline fumes. Gasoline inhalation can affect the nervous system, leading to symptoms like ataxia, dizziness, confusion, and unsteady gait.
Choice C Reason:
Hypothermia is incorrect. Gasoline inhalation is not typically associated with hypothermia. Inhaling gasoline vapors might cause respiratory irritation or CNS effects but not hypothermia.
Choice D Reason:
Pinpoint pupils is incorrect. Pinpoint pupils are more commonly associated with opioid use or certain medications affecting the nervous system. Gasoline inhalation is not typically associated with this pupil reaction.
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