A female client who is receiving hospice care in her home expresses fear that dying will be painful. Which action should the nurse take first?

Include caregiver in discussion of pain relief strategies.

Encourage the client to talk about her fear related to pain.

Explain that analgesics will be given whenever needed.

Provide therapeutic touch along with comfort and support.

Answer and Explanation

The Correct Answer is B

A. Including the caregiver in discussions about pain relief strategies is important, but addressing the client’s immediate concerns and fears should come first.
B. Encouraging the client to talk about her fear related to pain allows the nurse to understand her specific concerns and provide personalized reassurance and support. Addressing the client’s emotional needs is crucial in hospice care.
C. Explaining that analgesics will be given as needed is important for reassurance but may not fully address the client’s fear or allow for an open discussion about her concerns.
D. Providing therapeutic touch and comfort is supportive but does not directly address the client’s fear. Engaging in a conversation about her specific fears allows for more targeted and effective reassurance.

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Correct Answer is B

Explanation

A. Stopping suctioning may not be necessary if the oxygen saturation is stable and within acceptable limits. The key is to ensure that the suctioning procedure is not adversely affecting oxygenation.
B. Repositioning the pulse oximeter clip is a good practice to ensure accurate readings, especially if there is any concern about the reliability of the current measurement. An accurate oxygen saturation reading is essential for assessing the impact of the suctioning procedure.
C. Completing the suctioning procedure may be appropriate if the oxygen saturation is stable. However, it’s important to ensure that the oxygen saturation readings are accurate and reliable before continuing.
D. Applying an oxygen mask may be necessary if the client's oxygen saturation drops, but there is no indication that the oxygen saturation has decreased. Repositioning the oximeter clip is a more immediate step to ensure accurate readings.

Correct Answer is ["0.8"]

Explanation

To calculate the volume of hydromorphone to administer, we can use the following formula:

Volume (mL) = Dose (mg) / Concentration (mg/mL)

In this case:

Dose = 3 mg
Concentration = 4 mg/mL

Plugging in the values:

Volume (mL) = 3 mg / 4 mg/mL = 0.75 mL

Therefore, the nurse should administer 0.8 mL of hydromorphone to the client.

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A female client who is receiving hospice care in her home expresses fear that dying will be painful. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While suctioning a client's nasopharynx, the nurse observes that the client's oxygen saturation remains at 94%, which is the same reading obtained prior to starting the procedure. Which action should the nurse take in response to this finding?

Correct Answer is B

Explanation

Correct Answer is ["0.8"]

Explanation

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