A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Withhold the benzodiazepine but continue the opioid.

Administer the benzodiazepine but withhold the opioid.

Continue the medication dosages that relieve the client's pain.

Contact the provider about replacing the opioid with an NSAID.

Answer and Explanation

The Correct Answer is B

Being difficult to arouse may be and indicator of respiratory depression which is a common side effect of opioid use. This is more common when given in high doses. Although benzodiazepines could cause respiratory depression, the risk is lower.

A. opioid is more likely to be the cause of respiratory depression

C. continuing the medications despite the increased risk of respiratory depression is unethical

D. An NSAID is unlikely to provide optimal analgesia which is a key goal in end of life care,

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Correct Answer is C

Explanation

Anthrax is a bacterial infection caused by Bacillus anthracis and requires antibiotics to prevent systemic spread of infection. Antibiotics help to prevent multiplication of bacterial infections leading to reduced severity and extent of disease.

A. Antivirals have no role against a bacterial infection

B. A surgical mask only has a role in inhalational anthrax

D. An N95 respirator mask is useful in cases of inhalational anthrax

A. The nurse's signature indicates they witnessed the client's signature. B. A client must understand risks and benefits of the proposed treatment. C. Nonverbal behavior indicates agreement. D. Consent can be verbal or written.

Correct Answer is C

Explanation

implied consent is the agreement by a client’s action or inferred from circumstances. It does not require any documentation. On the other hand, express consent is direct and clear given with explicit words- A, B and D are components of express consent.

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A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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