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 B

Explanation

Advance directives are legally binding documents that one uses to express their health care wishes for when they are unable to do so in the future. They include a living will, durable power of attorney. They are signed by the individual when they are mentally capable and healthy.

A. Only the individual signs the advanced directives

C. They are signed when one is healthy and mentally sound

D. The doctor has no role in the writing of a living will.

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 is providing teaching to a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

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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