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:
Neck vein distention is incorrect. Neck vein distention is not a common symptom of aspirin poisoning. It might be seen in conditions like heart failure but is not typically associated with aspirin toxicity.
Choice B Reason:
Polyuria is incorrect. Excessive urination (polyuria) is not a typical symptom of acute aspirin poisoning. Aspirin toxicity more commonly presents with symptoms related to the central nervous system, respiratory distress, metabolic acidosis, and temperature dysregulation.
Choice C Reason:
Hyperpyrexia is correct. Acute aspirin poisoning can lead to an increased body temperature (hyperpyrexia) due to its effects on the central nervous system and interference with the body's temperature regulation mechanisms. Aspirin toxicity can result in alterations in the hypothalamus, leading to an elevated body temperature.
Choice D Reason:
Jaundice is incorrect. Jaundice, the yellowing of the skin and eyes, is not a characteristic finding of acute aspirin poisoning. It is more commonly associated with liver dysfunction or certain types of liver diseases but is not a typical manifestation of aspirin toxicity.
Correct Answer is C
No explanation
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