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An older adult with a terminal illness is receiving hospice care and is having difficulty coping with feelings related to death and dying. Which intervention(s) should the nurse include in this client's plan of care? (Select all that apply.)
Instruct client and family to reconsider end of life choices.
Teach client how to use guided imagery.
Record the client's desire to live.
Encourage family to visit frequently.
Encourage family to bring the client old photographs.
Correct Answer : B,C,D,E
Choice A reason: This is incorrect because instructing the client and family to reconsider end of life choices is disrespectful and insensitive. The nurse should respect the client's autonomy and preferences and support their decisions.
Choice B reason: This is correct because teaching the client how to use guided imagery is a helpful intervention for coping with feelings related to death and dying. Guided imagery is a relaxation technique that involves visualizing positive images and scenarios that can reduce stress, anxiety, and pain.
Choice C reason: This is correct because recording the client's desire to live is an important intervention for coping with feelings related to death and dying. The nurse should acknowledge and validate the client's emotions and help them express their hopes and fears.
Choice D reason: This is correct because encouraging family to visit frequently is a beneficial intervention for coping with feelings related to death and dying. The nurse should facilitate family involvement and communication and help the client maintain meaningful relationships.
Choice E reason: This is correct because encouraging family to bring the client old photographs is a useful intervention for coping with feelings related to death and dying. The nurse should assist the client in reminiscing and reviewing their life story and achievements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","F"]
Explanation
Choice B is correct because sodium intake can be regulated by limiting canned foods in the diet. Canned foods often contain high amounts of sodium as a preservative, which can increase blood pressure and fluid retention. The nurse should advise the client to choose fresh or frozen foods instead of canned foods or rinse them before eating.
Choice C is correct because salt substitutes can help with maintaining a healthy diet by reducing sodium intake. Salt substitutes are products that contain potassium chloride or other ingredients that mimic the taste of salt but have less or no sodium. The nurse should advise the client to use salt substitutes sparingly and check with their healthcare provider before using them if they have kidney problems or take certain medications.
Choice D is correct because weight management is promoted by taking daily walks for thirty minutes. Being overweight or obese can increase blood pressure and strain the heart and blood vessels. The nurse should advise the client to lose weight or maintain a healthy weight by engaging in regular physical activity and eating a balanced diet.
Choice F is correct because uncontrolled hypertension can lead to renal damage. High blood pressure can damage the blood vessels in the kidneys and impair their function, leading to chronic kidney disease or failure. The nurse should advise the client to monitor their blood pressure regularly and take prescribed medications as directed.
Choice A is incorrect because alcohol consumption can produce vascular changes that increase blood pressure. Alcohol can cause vasodilation, which lowers blood pressure temporarily, but also stimulates the sympathetic nervous system, which raises blood pressure over time. The nurse should advise the client to limit alcohol intake to no more than one drink per day for women and two drinks per day for men.
Choice E is incorrect because blood pressure readings should not be taken at noontime. Blood pressure readings should be taken at the same time each day, preferably in the morning before breakfast or in the evening before dinner, when blood pressure is usually lower and more stable. The nurse should advise the client to avoid taking blood pressure readings when they are stressed, anxious, or have just exercised or eaten.
Correct Answer is ["31.6"]
Explanation
The correct answer is : 31.6 mL
Let’s calculate this step by step:
Step 1: Convert 10 mg of teriparatide to mcg. We know that 1 mg = 1000 mcg. So, 10 mg = 10 × 1000 mcg = 10000 mcg.
Step 2: The medication is labeled as 760 mcg/2.4 ml. This means that 760 mcg of the medication is present in 2.4 mL.
Step 3: Now, we need to find out how many ml will contain 10000 mcg of the medication. We can set up a proportion to solve this:
(760 mcg / 2.4 ml) = (10000 mcg / x mL)
Step 4: Solving for x, we cross-multiply and divide:
x ml = (10000 mcg × 2.4 ml) ÷ 760 mcg
Step 5: Calculate the result:
x ml = 24000 mcg·ml ÷ 760 mcg = 31.57894736842105 mL
Step 6: If rounding is required, round to the nearest tenth:
x ml = 31.6 mL
So, the nurse should administer 31.6 mLof the medication.
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