A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse take to promote the client's autonomy?

Be honest with the client about the prognosis.

Allow the client to choose treatment times.

Provide privacy during client care procedures.

Administer pain medication on a routine schedule.

Answer and Explanation

The Correct Answer is B

Giving the client the opportunity to participate in decision-making regarding the timing of treatments and procedures respects their autonomy and allows them to have some control over their care.

Be honest with the client about the prognosis: By providing accurate and honest information, the nurse respects the client's right to know and be involved in decision-making regarding their healthcare.

Provide privacy during client care procedures: Respecting the client's privacy during care procedures allows them to maintain a sense of dignity and control over their body.

Administer pain medication on a routine schedule: Ensuring that pain medication is provided on a routine schedule allows the client to have control over their pain management and helps maintain their comfort and quality of life

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Correct Answer is D

Explanation

The first action the nurse should take in this situation is to assess the client's condition for any injuries or signs of distress. Therefore, the nurse should measure the client's vital signs to determine if there are any immediate concerns such as hypotension or tachycardia. After ensuring the client's safety and addressing any immediate needs, the nurse should complete an incident report and document the fall in the client's medical record. The provider may also need to be notified depending on the severity of the fall and any resulting injuries.

A. Hgb 13.2 g/dL B. BUN 15 mg/dL C. Urine protein 3+ D. Fasting blood glucose 72 mg/dL

Correct Answer is C

Explanation

Proteinuria can indicate kidney dysfunction or potential complications in pregnancy, such as preeclampsia. The provider needs to be aware of this finding and may want to assess the client further and consider appropriate interventions.

The other laboratory values are within normal ranges and do not require immediate reporting. Hgb (hemoglobin) of 13.2 g/dL is within the normal range for pregnancy. BUN (blood urea nitrogen) of 15 mg/dL is within the normal range, indicating normal kidney function. Fasting blood glucose of 72 mg/dL is within the normal range and indicates normal blood sugar levels.

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A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse take to promote the client's autonomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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