A client with lung cancer is receiving hospice care at an inpatient facility. Currently, the client's heart rate is 46 beats/minute, respirations are 10 breaths/minute, and the blood pressure is 73/49 mm Hg. The client tells the practical nurse (PN) that, "I am ready to make peace with God." Which intervention should the PN implement?
Contact the facility's chaplain for spiritual support.
Encourage client to remain hopeful for recovery.
Invite family and staff to pray at the client's bedside.
Ask family to request that the client's clergy visit.
The Correct Answer is A
A. Contact the facility's chaplain for spiritual support: This addresses the client's expressed spiritual need, consistent with holistic end-of-life care.
B. Encourage client to remain hopeful for recovery: Inappropriate in hospice care; focus should be on comfort and emotional needs, not unrealistic recovery goals.
C. Invite family and staff to pray at the client's bedside: This may be supportive, but should only be done if the client requests it.
D. Ask family to request that the client's clergy visit: This puts responsibility on family instead of directly meeting the client's stated wish.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Observe droplet precautions:
TB requires airborne precautions, not droplet.
B. Initiate airborne precautions:
TB is spread via airborne droplet nuclei; requires negative pressure room and N95 respirator.
C. Maintain standard precautions:
Insufficient for TB because it does not address airborne transmission.
D. Use protective isolation:
Used for immunocompromised clients, not infectious TB cases.
Correct Answer is ["A","D","E"]
Explanation
A. Record automatic blood pressure readings: Measuring and recording vital signs is part of the assessment phase.
B. Develop the initial plan of care: This is part of the planning phase, not assessment.
C. Initiate range of motion exercises: This is part of implementation, not assessment.
D. Gather information about the client's symptoms: Collecting subjective data is part of assessment.
E. Observe for muscle weakness and fatigue: Gathering objective data by observation is part of assessment.
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