The parent of a 4-year-old has been battling metastatic lung cancer for the past 2 years. After discussing the remaining options with the healthcare provider, the client requests that all treatment stop and that no heroic measures be taken to save the client's life. After the client is transferred to the palliative care unit, which action is most important for the receiving nurse to take in facilitating continuity of care?

Reassure the client that the client's child will be allowed to visit.

Obtain a detailed report from the nurse transferring the client.

Provide the client written information about end-of-life care.

Mark the chart with client's request for no heroic measures.

Answer and Explanation

The Correct Answer is B

A. While reassuring the client about visiting arrangements is supportive, it is not as critical for ensuring continuity of care.

B. Obtaining a detailed report from the transferring nurse is crucial to ensure all relevant information and the client’s wishes are communicated effectively.

C. Providing written information about end-of-life care is helpful but secondary to ensuring accurate communication of the client’s care preferences.

D. Marking the chart is important, but the immediate priority is ensuring the complete and accurate transfer of care information.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Osteoarthritis is primarily caused by the destruction of joint cartilage, which leads to pain, stiffness, and decreased mobility in the affected joints. This degenerative process is the hallmark of the condition.

B. Loss of bone mineral density is associated with osteoporosis, not osteoarthritis. While both conditions can cause joint pain, they have different underlying pathologies.

C. An infectious process in the synovial fluid would indicate septic arthritis, which is an acute and severe condition requiring different management.

D. A systemic inflammatory response is more characteristic of rheumatoid arthritis, an autoimmune condition, rather than osteoarthritis, which is a degenerative joint disease.

A. Confirm that this is a common symptom of osteoporosis. B. Determine how the client is administering the medication. C. Advise the client to gargle with warm salt water twice daily. D. Report the client's jaw pain to the healthcare provider.

Correct Answer is D

Explanation

A. Jaw pain is not a common symptom of osteoporosis.

B. While it is important to ensure proper administration of the medication, jaw pain is a serious side effect that requires immediate attention.

C. Gargling with warm salt water may alleviate minor oral discomfort but is not appropriate for managing jaw pain related to bisphosphonate use.

D. Jaw pain is a potential sign of osteonecrosis of the jaw, a serious side effect of bisphosphonates, and should be reported to the healthcare provider immediately.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older client with osteoarthritis reports increasing pain and stiffness in the right knee and asks how to reduce these symptoms. In responding to the client, the nurse recognizes what pathology as the cause of the symptoms?

Correct Answer is A

Explanation

A female client is taking alendronate, a bisphosphonate, for postmenopausal osteoporosis. The client tells the nurse that she is experiencing jaw pain. How should the nurse respond?

Correct Answer is D

Explanation

An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription is most important for the nurse to implement?

Patient Data Exhibits Which 2 prescriptions should the nurse complete first?

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAP)?

The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?

A young adult female presents at the emergency center with acute lower abdominal pain. Which assessment finding is most important for the nurse to report to the healthcare provider?