A nurse is reinforcing teaching with a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make?

"Discomfort is expected in clients who are at the end-of-life."

Opioid narcotics can cause loose stools and diarrhea in clients."

Pain is expected in older adult clients."

Clients are often afraid that opioid narcotics can result in addiction."

Answer and Explanation

The Correct Answer is D

A. While discomfort can occur, it is not an expected or acceptable part of end-of-life care. Effective pain management is a key priority, and discomfort should be addressed promptly to ensure the client’s comfort and dignity.

B.   While true, this statement does not directly address the expectation of discomfort at the end of life.
C.   While pain can be present in older adults, the statement does not specifically address the end-of-life context.
D.   Fear of addiction is a common concern among clients and families, even at the end of life. Nurses should educate clients and families about the importance of managing pain effectively and emphasize that addiction is not a concern when opioids are used appropriately for end-of-life care. This helps alleviate anxiety and encourages adherence to prescribed pain management regimens.

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Correct Answer is B

Explanation

A. A butterfly rash on the face is associated with systemic lupus erythematosus (SLE), not rheumatoid arthritis.
B. Ulnar deviation of the joints is a characteristic finding in rheumatoid arthritis, caused by inflammation and destruction of the joint structures.
C. Heberden’s nodes are associated with osteoarthritis, not rheumatoid arthritis.
D. Bouchard’s nodes are also associated with osteoarthritis, not rheumatoid arthritis.

A. Albuterol B. Hydrocortisone sodium succinate C. Diphenhydramine D. Epinephrine

Correct Answer is D

Explanation

A. The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.

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A nurse is reinforcing teaching with a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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