The hospice nurse is teaching the family of a client receiving palliative care at home how to provide care. Which instruction should the nurse provide?

Report any change in urine color.

Maintain in high Fowler's position.

Keep mucous membranes moist.

Record the client's daily weights.

Answer and Explanation

The Correct Answer is C

Choice A reason: Reporting any change in urine color is important but not specific to the provision of palliative care at home.

Choice B reason: Maintaining in high Fowler's position is not always necessary and may not be comfortable for all clients, especially in a palliative care setting.

Choice C reason: Keeping mucous membranes moist helps prevent discomfort and is a key part of providing compassionate end-of-life care.

Choice D reason: Recording the client's daily weights is less relevant in palliative care, where the focus is on comfort rather than ongoing medical assessments.

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Correct Answer is A

Explanation

Choice A reason: The priority is to manage the client's severe pain, which can be achieved through the administration of an IV analgesic. Effective pain management is crucial for postoperative recovery and can prevent complications related to increased pain, such as elevated heart rate and blood pressure.

Choice B reason: While assessing the IV site for patency is important, it is not the most critical intervention when a client is experiencing severe pain.

Choice C reason: Providing a pillow for splinting can help with pain management during movement or coughing but does not directly address the immediate need for pain relief.

Choice D reason: Placing the client in a high-Fowler's position may aid in comfort and breathing but is not the most important intervention for severe pain management.

Correct Answer is ["2.4"]

Explanation

Step 1: Convert the weight from pounds to kilograms. We know that 1 kg = 2.2 lbs. So, the weight in kg is:

175 lbs ÷ 2.2 = 79.55 kg

Step 2: Calculate the total units of heparin needed. The prescription is for 3 units/kg, so:

3 units/kg × 79.55 kg = 238.65 units

Step 3: Calculate the volume of heparin to administer. The vial is labeled as "100 units/mL", so:

238.65 units ÷ 100 units/mL = 2.39 mL

So, the nurse should administer approximately 2.4 mL of heparin (rounded to the nearest tenth).

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The hospice nurse is teaching the family of a client receiving palliative care at home how to provide care. Which instruction should the nurse provide?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The healthcare provider has prescribed heparin, 3 units/kg to be administered via IV push for a client who weighs 175 pounds. The vial is labeled as "100 units/mL." How many mL should the nurse administer? (Please enter the numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["2.4"]

Explanation

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