Exhibits

Complete the following sentence by using the list of options.

Mrs. Thompson is at high risk for developing
dropdown
evidenced by the client's
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Mrs. Thompson is at high risk for developing pressure sores evidenced by the client's end-of-life stage and deteriorating condition.

Emotional distress. While emotional distress is common in end-of-life patients, Mrs. Thompson has already expressed her wishes for a peaceful, pain-free death and has family support for decision-making. Emotional distress is not the primary risk factor for physical complications such as pressure sores.

Dehydration. Decreased oral intake is expected in the end-of-life stage, but dehydration does not directly cause pressure sores. While maintaining comfort is important, forced hydration is often avoided as it may not improve the patient’s quality of life.

Pressure sores. Mrs. Thompson’s declining condition and decreased mobility put her at high risk for developing pressure sores. Limited movement reduces circulation to pressure points such as the heels and sacrum, leading to tissue breakdown. Preventive measures such as repositioning and skin care should be prioritized.

Frequent movement and activity. This is incorrect because frequent movement reduces the risk of pressure sores by promoting circulation and relieving pressure on bony areas. Mrs. Thompson's deteriorating condition likely limits her mobility, making this choice inappropriate.

Ability to communicate their needs. This is incorrect because even if a patient can verbalize discomfort, they may still be unable to move independently. Pressure sores develop primarily due to immobility rather than communication barriers.

End-of-life stage and deteriorating condition. This is correct because patients nearing the end of life experience profound weakness, reduced circulation, and prolonged immobility, all of which increase the risk of pressure sores. These factors make skin breakdown prevention a key nursing priority.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. SaO₂ 94%. An oxygen saturation of 94% is within the normal range and does not indicate respiratory depression, which is a primary concern with morphine. A more significant drop in oxygen saturation would be a greater cause for concern.
B. Respiratory rate 8/min. This is an adverse effect of morphine. Opioids like morphine can cause respiratory depression, and a respiratory rate below 12 breaths per minute is considered concerning. A rate of 8 breaths per minute requires immediate intervention, such as administering naloxone if necessary.
C. Sleepy, but arousing when her name is called. Mild sedation is an expected side effect of morphine. As long as the client easily wakes up to verbal stimuli, this does not indicate significant opioid toxicity. However, if sedation deepens to unresponsiveness, it would be a concern.
D. Pain level of 6 on a scale from 0 to 10. This indicates that the morphine has not fully relieved the client’s pain, but it is not an adverse effect. The nurse may need to reassess pain management, but the priority is monitoring for respiratory depression.

A. Listen actively and attentively to the client and family concerns and emotions. B. Encourage the client to make decisions about treatment options and advance care planning. C. Provide detailed medical information and prognosis to the client. D. Discuss funeral arrangements and end-of-life wishes with the client.

Correct Answer is A

Explanation

A. Listen actively and attentively to the client and family concerns and emotions. Active listening is the most important action at the end-of-life stage. The client and family may have fears, emotional distress, or unanswered questions, and the nurse should provide empathetic support and reassurance. Listening fosters trust, emotional comfort, and dignity in care.
B. Encourage the client to make decisions about treatment options and advance care planning. While advance care planning is important, Mrs. Thompson has already expressed her wishes and designated decision-makers. At this stage, the focus should be on comfort rather than making new treatment decisions.
C. Provide detailed medical information and prognosis to the client. While some information may be appropriate, overloading the client with medical details may increase stress. The nurse should provide information as needed but prioritize emotional support.
D. Discuss funeral arrangements and end-of-life wishes with the client. This may be appropriate if the client initiates the conversation, but forcing discussions about funeral plans may not be beneficial. The nurse’s role is to support emotional well-being rather than focus on logistics.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Exhibits Complete the following sentence by using the list of options. Mrs. Thompson is at high risk for developing dropdownevidenced by the client'sdropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client 15 min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following Findings as an adverse effect of the medication?

Correct Answer is B

Explanation

Exhibits What is the most important action for the nurse to take when communicating with the client and family members at end of life?

Correct Answer is A

Explanation

A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

A nurse is educating a client about the wellness-illness continuum. Which of the following statements by the client indicates an understanding of the concept?

A nurse is teaching a class about the physical manifestations of grief. Which of the following manifestations should the nurse include?

A nurse is providing teaching to a client who has a terminal illness and is considering palliative care services. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?

A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

The nurse is caring for a child who has a diagnosis of metastatic brain cancer. The father states "I can't believe this is happening to us, I feel numb." Which of the following nursing interventions by the nurse is the first priority?

Exhibits

Complete the following sentence by using the list of options.

Mrs. Thompson is at high risk for developing
dropdown
evidenced by the client's
dropdown