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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Evaluating the integrity of the IV insertion site is important for assessing the patency of the IV line, but the client is reporting pain at the groin insertion site specifically.

B. Stimulating the client to take deep breaths may help with relaxation but does not address the immediate concern of pain at the groin site.

C. Checking the femoral site for hematoma formation is the priority action, as pain at the insertion site may indicate bleeding or hematoma development, which could lead to serious complications.

D. Assessing distal lower extremity capillary refill is important for vascular assessment but is secondary to checking the femoral site for potential complications from the catheterization.

A. Adult nurse practitioner. B. Risk management nurse. C. Neurology unit. supervisor. D. Nurse case manager.

Correct Answer is D

Explanation

A. An adult nurse practitioner may provide care but is not primarily responsible for coordinating the overall plan of care.

B. A risk management nurse focuses on minimizing risk and liability rather than direct patient care coordination.

C. A neurology unit supervisor may oversee neurological cases but is not specifically involved in case management.

D. The nurse case manager plays a critical role in coordinating the client’s care across various services and ensuring continuity of care, especially for complex cases like spinal cord injuries.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Correct Answer is D

Explanation

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