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 D
Explanation
A. A specific gravity within the normal range indicates adequate urine concentration and hydration status, which is not typically concerning.
B. This color is indicative of normal urine concentration and hydration status and is not necessarily indicative of urinary tract pathology.
C. Absence of glucose in the urine is a normal finding and does not typically warrant further investigation.
D. Microscopic hematuria (blood in the urine not visible to the naked eye) may indicate underlying urinary tract pathology, such as infection, inflammation, or kidney stones, and should be reported to the provider for further evaluation and management.
Correct Answer is C
Explanation
A. Adequate hydration is essential for preventing UTIs as it helps flush bacteria from the urinary tract.
B. Voiding after sexual intercourse can help flush out bacteria that may have entered the urinary tract during intercourse, reducing the risk of UTIs.
C. Wiping from back to front after urination can introduce bacteria from the anal area to the urethra, increasing the risk of UTIs. The correct technique is to wipe from front to back.
D. Bubble baths can introduce irritants and bacteria into the vaginal and perineal area, increasing the risk of UTIs. Avoiding bubble baths is a recommended prevention measure.
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