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. An older client who is one day postoperative with a colostomy can be managed by a PN, as this care often involves routine assessments and basic postoperative care.

B. An older adult scheduled for foot amputation may require more complex assessments and interventions, which should be handled by an RN.

C. A one-day postoperative client for laparoscopic cholecystectomy might need more comprehensive monitoring, making them better suited for RN care.

D. A client with alcoholism, cirrhosis, and hepatic encephalopathy requires close monitoring and advanced interventions, which are beyond the PN's scope.

A. Set up supplemental oxygen delivery B. Suggest a different ventilator mode to the provider C. Place a nasogastric tube D. Increase the fraction of inspired oxygen E. Set the ventilator to give mandatory breaths F. Gather supplies for extubation

Correct Answer is ["A","F"]

Explanation

A. After successful weaning, the client will need supplemental oxygen via nasal cannula or face mask to ensure continued oxygenation post-extubation.

B. The current weaning process is progressing as expected with pressure support decreasing steadily. There is no indication that a different ventilator mode is necessary at this time.

C. There is no indication in the scenario that the client requires a nasogastric tube for ventilation weaning or extubation.

D. The fraction of inspired oxygen (FiO₂) is currently at 35%, which is appropriate during the weaning process. Increasing FiO₂ without indication could disrupt the weaning progression.

E. The weaning process is designed to gradually reduce support. Adding mandatory breaths would counteract the progress made in reducing ventilatory support.

F. The client has been weaned to minimal ventilatory support, which suggests the healthcare provider may plan for extubation. Having supplies ready will facilitate a smooth extubation process.

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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

Which client is best to assign to the practical nurse (PN) who is assisting the registered nurse (RN) with the care of a group of clients?

Correct Answer is C

Explanation

The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client. Which should the nurse do? Select all that apply.

Correct Answer is ["A","F"]

Explanation

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