A terminally ill patient is experiencing a great deal of dyspnea and noisy, "rattling" rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:
decrease pain caused by dyspnea.
dry up secretions that are causing rattling.
decrease respiratory rate and relieve dyspnea.
hasten death by stopping respirations.
The Correct Answer is C
A. Administering morphine can help decrease pain associated with dyspnea, but the primary goal in this scenario is to address the dyspnea itself rather than pain specifically.
B. While morphine can help dry up secretions to some extent, its primary action in this context is to alleviate dyspnea by reducing respiratory effort and rate.
C. Morphine is commonly used in palliative care to relieve dyspnea by depressing the respiratory center in the brain, leading to a decrease in respiratory rate and effort. This helps alleviate the sensation of breathlessness and discomfort associated with dyspnea.
D. Administering morphine in small doses for dyspnea relief is not intended to hasten death but rather to provide comfort and relief from distressing symptoms at the end of life. The goal is to improve quality of life rather than hastening death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E
Explanation
The statement "My family will be fine after I'm gone" reflects a sense of acceptance of the situation and an acknowledgment of the inevitability of death. Here's how it correlates with Kübler-Ross's stages of dying:
Anger (Option A): Anger is characterized by feelings of frustration, resentment, and hostility. The statement does not express any anger towards the situation or others; instead, it conveys a sense of resignation and acceptance.
Depression (Option B): Depression involves feelings of sadness, hopelessness, and despair. While the statement could potentially be interpreted as reflecting sadness about leaving loved ones behind, it primarily conveys a sense of acceptance rather than depression.
Denial (Option C): Denial involves refusing to accept the reality of the situation. The statement provided does not reflect denial as it acknowledges the reality of the individual's impending death rather than denying it.
Bargaining (Option D): Bargaining involves attempting to negotiate with a higher power or others to change the outcome of the situation. The statement does not reflect bargaining as it does not involve any attempt to change the inevitable outcome of death.
Acceptance (Option E): Acceptance is the final stage in Kübler-Ross's model and involves coming to terms with one's impending death. The statement "My family will be fine after I'm gone" suggests that the individual has accepted their fate and believes that their loved ones will be able to cope without them. Therefore, this behavior correlates most closely with the stage of acceptance.
Correct Answer is C
Explanation
Feces and urine will drain onto the bed pads (Option A): Placing the body supine with the head raised does not facilitate drainage of feces and urine. Proper containment measures, such as the use of incontinence pads or diapers, are necessary to manage bodily fluids after death.
Movement of the deceased will be more convenient (Option B): Placing the body supine with the head raised does not necessarily make movement of the deceased more convenient. Postmortem care should be performed with care and respect, regardless of the positioning of the body.
Blood will not pool in the face and cause discoloration (Option C): Placing the body supine with the head raised helps prevent blood from pooling in the dependent areas of the face, such as the cheeks and forehead. This reduces the risk of postmortem lividity, which can cause discoloration and make the deceased's appearance less natural.
The deceased will appear to be sleeping (Option D): While placing the body supine with the head raised may create a more natural appearance for the deceased, resembling the posture of someone sleeping, the primary purpose of this positioning is to prevent blood pooling in the face, rather than to create a sleeping appearance.
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