A patient with terminal lymphoma says to the nurse, "I'm tired of being so fatigued all the time. Can't you just give me a big shot of morphine and help me end this suffering? Which of the following responses by the nurse is most appropriate?
"You have orders for morphine 10 to 15 mg I don't think that's enough to end your suffering"
"That is really not appropriate to ask. Would you like a shot to take away the pain?"
"Are you sure that is what you want me to do? Maybe you should think about it first."
"You sound frustrated. It must be difficult to feel so tired all the time."
The Correct Answer is D
A. This response focuses solely on the adequacy of the medication dosage and does not address the patient's emotional distress.
B. This response dismisses the patient's request and does not address the underlying feelings of suffering.
C. This response does not provide support or explore the patient's feelings further and may come across as judgmental.
D. This response acknowledges the patient's feelings and opens the door for further discussion and exploration of their emotional distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Digoxin typically decreases the heart rate by increasing vagal tone and reducing conduction through the atrioventricular node.
B. Digoxin may have minimal effects on blood pressure, primarily by improving cardiac output in patients with heart failure, but its primary action is on cardiac contractility and rhythm.
C. Digoxin has a negative chronotropic effect, meaning it slows the heart rate by increasing parasympathetic tone and decreasing conduction through the atrioventricular node.
D. Digoxin has a positive inotropic effect, meaning it increases the force of cardiac contractions, which can be beneficial in patients with heart failure.
E. Digoxin can suppress ectopic beats (abnormal heart rhythms originating outside the sinoatrial node) by slowing conduction through the atrioventricular node and enhancing vagal tone
Correct Answer is C
Explanation
A. Daily weight monitoring is important for assessing fluid status but may not provide real-time information about fluid balance changes.
B. Vital signs are important for overall assessment but may not specifically address the nursing diagnosis of Excess Fluid Volume unless there are significant changes indicative of fluid overload or dehydration.
C. Monitoring intake and output provides direct information about fluid balance and renal function, helping to identify trends and assess the effectiveness of interventions aimed at managing fluid volume.
D. Skin turgor assessment is useful for evaluating hydration status but may not provide comprehensive data on fluid volume excess alone.
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