A nurse is caring for a client who has cancer and is being transferred to hospice care. The client's daughter tells the nurse, "I'm not sure what to say to my mom if she asks me about dying." Which of the following responses by the nurse is appropriate? (Select all that apply.)

"Tell me how you are feeling about your mom dying."

"You sound like you have questions about your mom dying. Let's talk about it."

"Let's talk about your mom's cancer and how things will progress from here."

"Tell her not to worry. She still has plenty of time left."

"Hospice will take good care of your mom, so I wouldn't worry about that."

Answer and Explanation

Correct Answer : A,B,C

Rationale:

A. "Tell me how you are feeling about your mom dying.": This encourages the daughter to express her emotions, which is an important first step in processing grief and finding the right words to support her mother. It shows empathy and opens a therapeutic conversation.

B. "You sound like you have questions about your mom dying. Let's talk about it.": This response invites the daughter to engage in a meaningful discussion about her concerns. It provides emotional support and creates a safe space for her to ask questions and gain clarity.

C. "Let's talk about your mom's cancer and how things will progress from here.": Educating the daughter about the disease process and what to expect during hospice care can reduce anxiety and help her feel more prepared to have honest conversations with her mother.

D. "Tell her not to worry. She still has plenty of time left.": This response offers false reassurance and avoids the reality of the situation. It can prevent the daughter from addressing important emotional or end-of-life discussions with her mother.

E. "Hospice will take good care of your mom, so I wouldn't worry about that.": Although hospice provides excellent care, this response shifts the focus away from the daughter’s emotional needs and discourages open communication about death and dying.

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Correct Answer is B

Explanation

Rationale:

A. Administer the medication as prescribed: Administering amoxicillin to a client with a penicillin allergy can result in serious allergic reactions, including rash, hives, or anaphylaxis. Amoxicillin is a penicillin derivative, it is contraindicated in patients with penicillin allergies.

B. Discuss the prescription with the health care provider: The nurse must clarify potentially harmful prescriptions directly with the provider. This ensures patient safety by verifying if the medication should be changed, considering the client’s documented allergy to penicillin.

C. Call the pharmacist for clarification of the medication contraindications: While pharmacists can verify drug classes and potential reactions, they do not have the authority to discontinue or modify a prescription. Only the healthcare provider can make necessary changes to an order.

D. Place an incident report in the medical record: Incident reports are meant for internal documentation and are never placed in the client’s medical record. Since the error has not occurred yet, prevention through provider consultation is the priority action.

A. Select a vein on the back of the hand. B. Clean the site using vigorous friction. C. Use a 22-gauge catheter for insertion. D. Apply a tourniquet firmly above the insertion site.

Correct Answer is C

Explanation

Rationale:

A. Select a vein on the back of the hand: Veins on the dorsum of the hand are often more fragile and prone to infiltration or rupture in older adults. Using a more proximal site, such as the forearm, is generally safer and more stable for IV therapy.

B. Clean the site using vigorous friction: Older adults often have thinner, more delicate skin that can tear easily. While proper antiseptic technique is important, vigorous friction can cause skin trauma and should be avoided during site preparation.

C. Use a 22-gauge catheter for insertion: A 22-gauge catheter is appropriate for older adults because it minimizes vein trauma while still allowing for adequate flow rates. This size is effective for most fluids and medications while reducing the risk of vessel damage.

D. Apply a tourniquet firmly above the insertion site: Applying a tourniquet too tightly can injure fragile veins or cause them to collapse. In older adults, using minimal pressure or alternative vein-dilation methods like warm compresses is often safer.

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A nurse is caring for a client who has cancer and is being transferred to hospice care. The client's daughter tells the nurse, "I'm not sure what to say to my mom if she asks me about dying." Which of the following responses by the nurse is appropriate? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an allergy to penicillin. The health care provider has prescribed amoxicillin. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A nurse manager is planning to assist with resolving conflict within a group of nurses. Which of the following actions should the nurse manager take?

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A nurse is teaching a client who was recently diagnosed with type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to assess a client for pulse deficit. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who is 2 hr postoperative. Which of the following findings should the nurse report to the provider?

The nurse reviews the Nurses' Notes from Day 1 at 1100. Exhibits For each potential nursing Intervention, click to specify if the Intervention is anticipated or not anticipated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.