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
Explanation
Choice A Reason
Pulse rate 98/min: A pulse rate of 98 beats per minute is within the expected range for a 2-year-old child (normal range: 70-110 bpm). This finding is generally considered normal for this age and may not require immediate reporting.
Choice B Reason:
Temperature 37.2° C (99° F): A temperature of 37.2°C (99°F) is slightly elevated but is within the range of low-grade fever in children. However, at a well-child visit, this temperature might not be immediately alarming, especially if the child doesn't exhibit other signs of illness.
Choice C Reason:
Blood pressure 118/74 mm Hg:This reading is higher than the normal range for a 2-year-old child. High blood pressure in a young child should be evaluated further to determine the cause and need for intervention.
Choice D Reason:
Respiratory rate 26/min: The normal respiratory rate for a 2-year-old child typically ranges from 20 to 30 breaths per minute. A respiratory rate of 26 breaths per minute is within this range and may not warrant immediate concern.
Correct Answer is D
Explanation
Choice A Reason:
Have the child wear a surgical mask to school. Wearing a surgical mask to school is not a standard practice for managing sickle cell disease unless recommended during times of illness or in situations where the child is at risk of exposure to infections that could potentially trigger a sickle cell crisis.
Choice B Reason:
Limit fluids at bedtime. Adequate hydration is essential for individuals with sickle cell disease to prevent dehydration, which can trigger sickle cell crises. Limiting fluids at bedtime might not be advised; instead, encourage adequate hydration throughout the day.
Choice C Reason:
Apply cold compresses to painful areas. Cold compresses may provide temporary relief for some pain associated with sickle cell disease, but warm compresses or warm baths are generally more helpful in easing pain related to sickle cell crises.
Choice D Reason:
Encourage physical activity as tolerated. Regular physical activity, as tolerated by the child, is beneficial in managing sickle cell disease. It helps improve blood flow, reduce the risk of complications, and maintain overall health. However, it's crucial to encourage activity while considering the child's individual limitations and avoiding excessive strain or exhaustion.
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