A nurse in along-term care facility is reinforcing teaching about pain control with a client who has terminal cancer. Which of the following information should the nurse include?

"A medication dose must be decreased if you develop tolerance."

"Pain patches are applied each morning and removed at bedtime."

"We will use intramuscular medications to control your pain."

"Analgesia should be used around the clock to promote pain control."

Answer and Explanation

The Correct Answer is D

A. "A medication dose must be decreased if you develop tolerance.": Tolerance means the body becomes accustomed to the medication, often requiring higher—not lower—doses to achieve relief. Reducing the dose would worsen pain and diminish comfort, which is inappropriate in terminal cancer pain management.

B. "Pain patches are applied each morning and removed at bedtime.": Transdermal pain patches, such as fentanyl, are designed to provide continuous analgesia over 48–72 hours. Removing them daily disrupts steady pain control and leads to breakthrough pain.

C. "We will use intramuscular medications to control your pain.": IM injections are painful, have unpredictable absorption, and are avoided for chronic or end-of-life pain management. More comfortable and reliable routes—oral, transdermal, or IV—are preferred to maintain consistent relief.

D. "Analgesia should be used around the clock to promote pain control.": Scheduled dosing maintains steady medication levels and prevents breakthrough pain, which is essential for terminal cancer clients. This approach supports comfort, reduces suffering, and aligns with best practices for palliative pain management.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

A. Remove the dressing and tape from the venipuncture site: The dressing and tape are removed after the IV tubing is clamped to prevent fluid leakage. This step exposes the catheter for safe removal while maintaining sterility.

B. Clamp the IV tubing: Clamping the tubing stops the flow of IV fluids and prevents backflow or bleeding from the catheter. This ensures safety before manipulating the catheter.

C. Withdraw the catheter from the client's vein: The catheter is gently removed after the site is exposed and the tubing is clamped. Smooth withdrawal minimizes trauma and reduces the risk of bleeding or venous injury.

D. Perform hand hygiene: Hand hygiene should be done before any procedure to reduce the risk of introducing infection. It ensures aseptic technique is maintained throughout the IV discontinuation process.

E. Apply pressure to the venipuncture site with sterile gauze: Immediate pressure is applied after catheter removal to prevent bleeding and promote clot formation. The site is held until hemostasis is achieved and then dressed appropriately.

A. A B. B

Correct Answer is B

Explanation

A. The top image shows a raised, erythematous plaque with silvery scaling (most likely a plaque of psoriasis or other dermatitis), which is a common skin lesion but is not characteristic of a venous stasis ulcer, which is a depressed, often shallow, open wound.

B. The bottom image displays a client's lower legs with prominent, dilated veins (varicose veins) and associated hyperpigmentation (darkening of the skin) and edema (swelling). These findings are the hallmark signs of chronic venous insufficiency and stasis dermatitis, the underlying condition that directly causes venous stasis ulcers.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in along-term care facility is reinforcing teaching about pain control with a client who has terminal cancer. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to discontinue a client's intravenous infusion. Identify the sequence the nurse should follow to remove the IV catheter. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is checking the skin of a client who has chronic venous insufficiency. Which of the following images should the nurse identify as a venous stasis ulcer?

Correct Answer is B

Explanation

A nurse is preparing to administer enoxaparin 1.5 mg/kg subcutaneously to a client who weighs 175 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assisting with the care of an 18-year-old client who is at their provider's office for an annual physical. The client inquires about cancer examinations that they should have. Which of the following examinations should the nurse recommend?

A nurse is collecting data from a client who has iron-deficiency anemia.Which of the following locations should the nurse monitor for the clinical manifestation of cheilosis? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

A nurse is reinforcing teaching about lowering fat and cholesterol in the diet with a client who has atherosclerosis. Which of the following responses by the client indicates an understanding of the teaching?

A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA) and requires assistance to perform their ADLS.“ Which of the following statements should the nurse provide?

A nurse is assisting in the care of a client who is to receive a transfusion of packed RBCs. Which of the following solutions should the nurse obtain?

Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client. There are six tabs that contain separate categories of data.)

A nurse is reinforcing teaching with a client who has herpes simplex virus type 2. Which of the following statements by the client indicates an understanding of the teaching?