A hospice nurse is caring for a client who is near the end of life and has noisy breathing. Which of the following actions should the nurse take?

Use oropharyngeal suctioning PRN.

Turn the client every 2 hours.

Administer an antiemetic.

Insert an indwelling urinary catheter.

Answer and Explanation

The Correct Answer is B

Choice A reason: Oropharyngeal suctioning may be necessary if secretions are causing distress, but it can also be uncomfortable and should be used cautiously.

Choice B reason: Turning the client can help manage noisy breathing by allowing secretions to drain and is a non- invasive comfort measure.

Choice C reason: Antiemetics are used to manage nausea and vomiting, not noisy breathing.

Choice D reason: An indwelling urinary catheter may be considered for comfort if the client cannot use the bathroom, but it does not address noisy breathing.

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Correct Answer is B

Explanation

Choice A reason: Furosemide is a loop diuretic that can lower potassium levels, so an increase in potassium is not an

expected outcome.

Choice B reason: Relief of dyspnea is a primary goal of furosemide administration in heart failure, as it reduces fluid overload and pulmonary congestion.

Choice C reason: A stable weight might indicate that fluid retention has not worsened, but it does not necessarily reflect the effectiveness of furosemide in reducing fluid overload.

Choice D reason: Decreased hunger is not a direct indicator of furosemide effectiveness and could be related to other factors.

A. Teach the client about modifications for activities of daily living skills. B. Inform the client about home health visits to monitor effectiveness of care. C. Inform the client about ongoing screening for high-risk conditions. D. Teach the client about support groups in the community.

Correct Answer is C

Explanation

Choice A reason: Modifications for activities of daily living are important for rehabilitation but are not specifically related to secondary prevention.

Choice B reason: Home health visits are part of overall care management but do not directly relate to secondary prevention strategies.

Choice C reason: Ongoing screening for high-risk conditions is a key component of secondary prevention, aiming to identify and manage conditions before they lead to further health issues.

Choice D reason: Support groups provide emotional and social support but are not a direct method of secondary prevention.

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A hospice nurse is caring for a client who is near the end of life and has noisy breathing. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse administered furosemide 80 mg PO 1 hour ago to a client who has end-stage heart failure. Which of the following findings is an indication that the furosemide has been effective?

Correct Answer is B

Explanation

A case management nurse is planning discharge teaching for a client. Which of the following interventions should the nurse plan to include for secondary prevention?

Correct Answer is C

Explanation

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