Exhibits

The nurse is reviewing provider orders for Mrs. Thompson who is in the end- of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.

Administer prescribed pain medication to manage discomfort.

Facilitate family meetings to discuss care goals and provide emotional support.

Initiate aggressive chemotherapy to attempt disease reversal.

Provide regular oral care for comfort.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"}}

Administer prescribed pain medication to manage discomfort. Pain management is a priority in end-of-life care to ensure comfort. Opioids and other pain medications are routinely prescribed in palliative care to alleviate suffering.

Facilitate family meetings to discuss care goals and provide emotional support. Supporting the family and discussing care preferences align with palliative and hospice care goals. Family meetings provide emotional support and ensure that care aligns with Mrs. Thompson’s wishes.

Initiate aggressive chemotherapy to attempt disease reversal. At the end-of-life stage, curative treatments are no longer appropriate. Aggressive chemotherapy is unlikely to provide benefit and may cause unnecessary discomfort. The focus should be on comfort rather than disease reversal.

Provide regular oral care for comfort. Dry mouth and oral discomfort are common at the end-of-life stage, especially with reduced fluid intake. Regular oral care helps maintain moisture, prevents infections, and enhances comfort.

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 {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

The nurse identifies that the client is currently in Kübler-Ross's anger stage of grief as evidenced by feeling like life is not fair.

Anger. In this stage, individuals express frustration, resentment, or questioning of fairness. The client’s statement, "Why is this happening to me? I have always been healthy," reflects anger and a sense of injustice regarding their diagnosis. The refusal of medications and care further supports emotional distress and resistance.

Denial and Isolation. This stage is characterized by disbelief regarding the diagnosis or refusal to accept reality. On Day 1, the client questioned the accuracy of their test results, suggesting denial. However, by Day 3, their emotions had shifted to frustration, making denial no longer the most fitting condition.

Bargaining. This stage involves making deals with a higher power or attempting to negotiate for more time or a different outcome. The client has not displayed behaviors indicative of bargaining, such as promising to change habits or seeking alternative treatments.

Acceptance. Acceptance is marked by established methods of coping and coming to terms with the diagnosis. The client is still struggling emotionally, refusing care, and expressing frustration, which indicates they have not yet reached this stage.

Depression. This stage is characterized by feelings of deep sadness for potential missed experiences. The client’s emotional response is more aligned with anger rather than deep sorrow, withdrawal, or despair, which are typical signs of depression in the grieving process.

A. Naloxone B. Neostigmine C. Flumazenil D. Protamine

Correct Answer is A

Explanation

A. Naloxone. Naloxone is an opioid antagonist used to reverse respiratory depression, sedation, and other effects of opioid overdose, including morphine. It works by blocking opioid receptors and should be readily available whenever administering IV opioids.
B. Neostigmine. Neostigmine is a cholinesterase inhibitor used to reverse the effects of neuromuscular blocking agents after surgery. It is not effective for opioid overdose or respiratory depression caused by morphine.
C. Flumazenil. Flumazenil is a benzodiazepine antagonist used to reverse sedation caused by benzodiazepines like midazolam or diazepam. It does not counteract the effects of morphine or other opioids.
D. Protamine. Protamine is used to reverse the effects of heparin, an anticoagulant. It has no role in treating opioid-related respiratory depression or overdose.

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 The nurse is reviewing provider orders for Mrs. Thompson who is in the end- of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has received a terminal diagnosis. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The nurse identifies that the client is currently in Kübler-Ross's dropdownstage of grief as evidenced bydropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?

Correct Answer is A

Explanation

Exhibits Complete the following sentence by using the list of options. The most likely cause of the client’s condition based on the nurse’s observation isdropdown

A nurse is caring for a terminally ill client on hospice who passed away during the shift. Select the "3" postmortem care actions the nurse should take?

Exhibits The nurse is evaluating the effectiveness of pain interventions for Mrs. Thompson who is unconscious and at the end of life. Which of the following methods is the most appropriate for assessing pain management effectiveness in this client?

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 nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?

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

Exhibits

The nurse is reviewing provider orders for Mrs. Thompson who is in the end- of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.