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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. While monitoring bowel sounds is important for assessing gastrointestinal function, it is not the most critical parameter to monitor in a patient with leukemia.
B. Fever can indicate infection, which is a common complication in patients with leukemia due to compromised immune function from the disease and its treatments.
C. Monitoring heart rate is important, but it may not be the most crucial parameter to monitor unless there are specific cardiac concerns.
D. Skin integrity should be monitored, but it may not be the most important parameter to monitor unless there are concerns about skin breakdown or infections.

A. "They are going to examine my gallbladder and ducts." B. "I'll have an endoscope put down my throat so they can see my gallbladder." C. "Soon those shock waves will get rid of my gallstones." D. "They'll put medication into my gallbladder to dissolve the stones."

Correct Answer is B

Explanation

A. This is partially correct but lacks the detail that the examination is done via an endoscope through the throat.
B. An endoscopic retrograde cholangiopancreatography (ERCP) involves the use of an endoscope to visualize and treat problems in the bile ducts, gallbladder, and pancreas.
C. This statement reflects a misunderstanding of the procedure, as ERCP does not involve shock waves to treat gallstones.
D. This statement also reflects a misunderstanding, as ERCP is primarily a diagnostic procedure and does not involve direct medication delivery to the gallbladder.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding is most important to monitor when caring for a patient with leukemia?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

The nurse is caring for a patient who has had three or more premature ventricular contractions occurring in a row on the electrocardiogram tracing. The nurse should document this as which of the following?

A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?

Which of the following foods should a client with leukemia avoid?

A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?

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The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see first?

Which of the following are characteristics of Hodgkin's disease? (Select All that Apply.)

A patient reporting palpitations has multiple premature ventricular contractions (PVCS) on an electrocardiogram (ECG) tracing. Which patient statement Indicates teaching is effective?