Exhibits

Complete the following sentence by using the list of options.

Mrs. Thompson is at high risk for developing
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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

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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

A. "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it." PCA allows the client to self-administer pain medication by pressing a button, giving them control over their pain relief. However, it is important to educate the client to press the button only when experiencing pain, not on a routine schedule.
B. "The PCA system is designed with safety features to prevent you from receiving too much medication." PCA pumps are programmed with a lockout interval to prevent overdosing, ensuring the client cannot receive medication too frequently. This safety mechanism reduces the risk of respiratory depression and other opioid-related complications.
C. "The PCA system is programmed to deliver a specific dose of medication each time you press the button." The PCA pump is preset to deliver a controlled dose of medication when activated. This prevents errors and ensures that the client receives a safe and effective amount of analgesia.
D. "Family members should press the PCA button for you if you are unable to do so yourself." This is incorrect because only the client should press the PCA button. Allowing family members or staff to activate the PCA pump, known as "PCA by proxy," can lead to overmedication and serious complications, including respiratory depression.
E. "You should avoid using the PCA system if you feel that the pain is manageable without medication." While it is important to use the lowest effective dose of pain medication, avoiding the PCA system entirely may lead to unnecessary discomfort. Clients should be encouraged to use the PCA when needed to maintain optimal pain control and prevent pain from becoming severe.

A. Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices. B. Religion is a personal belief system, while spirituality involves organized practices and rituals. C. Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines. D. Religion and spirituality are synonymous and can be used interchangeably in patient care assessments.

Correct Answer is A

Explanation

A. Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices. This statement accurately differentiates religion and spirituality. Religion typically involves structured beliefs, worship, rituals, and a faith community, while spirituality is a broader, more personal concept that can include seeking meaning, connection, or purpose, with or without religious affiliation.
B. Religion is a personal belief system, while spirituality involves organized practices and rituals. This is incorrect because religion is typically more structured and involves organized practices, while spirituality is often more personal and may or may not include rituals.
C. Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines. This is incorrect because religion often involves both personal growth and adherence to doctrines, while spirituality focuses on personal meaning and connection, which may extend beyond religious structures.
D. Religion and spirituality are synonymous and can be used interchangeably in patient care assessments. This is incorrect because while religion and spirituality are related, they are not the same. Spiritual care can apply to both religious and non-religious individuals, recognizing that spirituality may be expressed in many ways beyond religious affiliation.

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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 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.)

Correct Answer is ["A","B","C"]

Explanation

Correct Answer is A

Explanation

A nurse is reflecting on their own personal attitudes about vulnerable populations. Which of the following statements demonstrates an attempt by the nurse to minimize judgment and bias when caring for clients?

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?

The nurse is reviewing strategies to address health disparities in a community setting in alignment with Healthy People 2030 objectives. Which of the following actions by the nurse best demonstrates the application of Healthy People 2030 goals to reduce health disparities?

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

A correctional nurse is caring for a client who was recently injured in the facility. The client is complaining of pain but is not due to receive any more pain medication for a while. Which of the following interventions could the nurse include to achieve the goal of pain relief?

A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?

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?

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