An adult client was diagnosed with stage IV lung cancer three weeks ago. The client's spouse approaches the nurse and asks how to know that the spouse's death is imminent because their two adult children want to be there when the client dies. Which is the best response by the nurse?
Explain the client will start to lose consciousness and the body systems will slow down.
Offer to discuss the client's health status with each of the adult children.
Gather information regarding how long it will take for the children to arrive.
Reassure the spouse that the healthcare provider will notify when to call the children.
The Correct Answer is A
A. Explaining the physiological signs of imminent death helps prepare the spouse and family for what to expect, allowing them to gather as needed.
B. While discussing the client’s health status may be supportive, it does not directly address the spouse’s request for understanding signs of impending death.
C. Gathering information about how long it will take for the children to arrive is important but secondary to providing the spouse with information about impending signs of death.
D. While reassuring the spouse is important, it may not provide the immediate information they seek about recognizing the signs of dying.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Nausea can affect nutritional intake but is less directly related to the specific symptoms of xerostomia and mucositis.
B. Fatigue may contribute to decreased food intake but is not the primary issue in this context.
C. Altered taste sensation can affect appetite but is often secondary to pain when eating.
D. Pain when eating is the most significant factor affecting the client’s ability to consume adequate nutrition, as it directly discourages eating.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Explanation
This client is at risk for VTE due to several factors, including being postpartum, prolonged labor (25 hours), and potential immobility after delivery. Additionally, the presence of a 4th-degree laceration may lead to decreased mobility, increasing the risk of blood clots.
Wound Dehiscence:
The client has a 4th-degree laceration, which involves a significant degree of tissue damage and may require careful monitoring for proper healing. Factors such as infection (noted by slight fever), tension on the wound, or inadequate healing can contribute to the risk of dehiscence.-
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