A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make?
"Do you need a prescription for an antianxiety medication?"
"Do you need information on hospice care?"
"Would you like to talk to a counselor about advance directives?"
"Would you like to speak to a spiritual advisor?"
The Correct Answer is B
A. While medication for anxiety may be appropriate, focusing on the emotional and spiritual aspects of care is essential for clients with terminal cancer.
B. Offering information on hospice care is an appropriate and compassionate response that provides the client with options for managing symptoms and improving quality of life at the end of life.
C. Discussing advance directives may be appropriate, but offering hospice care is a more direct and empathetic response for terminally ill clients.
D. While speaking to a spiritual advisor may be helpful, it is not the first step in addressing the client’s
expressed feelings of depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sitting in a chair next to the bed provides a comfortable and professional setting, allowing the nurse to engage with the client at eye level.
B. Sitting on the bed may be seen as too informal and might invade the client’s personal space.
C. Standing at the side of the bed can create a sense of distance and is less personal.
D. Standing at the foot of the bed may make the nurse seem detached and less approachable.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The client is at risk for developing serotonin syndrome due to adverse effects of paroxetine.
Rationale
Serotonin syndrome is a potentially life-threatening condition that occurs when there is an excess of serotonin in the central nervous system, often as a result of taking certain medications, particularly selective serotonin reuptake inhibitors (SSRIs) like paroxetine.
Adverse effects of paroxetine:
The client was recently switched from fluoxetine (another SSRI) to paroxetine, and has had their dose increased from 10 mg to 30 mg. This may lead to an increase in serotonin levels, which, if excessive, could trigger serotonin syndrome. The client’s current symptoms, including restlessness, abdominal pain, disorientation, and fever, are indicative of potential serotonin syndrome, which is often accompanied by agitation, hyperreflexia, tremors, and autonomic dysregulation (e.g., fever, tachycardia, hypertension).
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