A nurse is caring for a client who is at the end of life. The client’s partner is concerned about using opioid narcotics to manage the client’s pain Which of the following statements should the nurse make?

The dosage of the opioid narcotic is unlimited.

Opioid narcotics are restricted for the client because of the risk for addiction.

Using opioid narcotics will limit options available for future management of pain.

The use of opioid narcotics is restricted to when death is imminent.

Answer and Explanation

The Correct Answer is C

A.   The dosage of opioid narcotics is not unlimited and should be carefully titrated to the client's pain level.
B.   Opioid narcotics are not restricted solely due to the risk of addiction, especially in end-of-life care where effective pain management is a priority.
C.   This statement emphasizes the importance of maintaining a stepwise approach to pain management, preserving options for effective pain control.
D.   The use of opioid narcotics is not restricted solely to when death is imminent; it depends on the client's pain and symptom management needs.

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Correct Answer is B

Explanation

A. Non-palpable spleen is not a typical manifestation of malnutrition but may be associated with other health conditions.
B. Rough, dry skin is a common manifestation of malnutrition, reflecting deficiencies in essential nutrients affecting skin health.
C. The presence of surface papillae on the tongue is not specifically associated with malnutrition.
D. Slightly moist skin is less likely in malnutrition; dry skin is more characteristic.

A. Instruct client to use an incentive spirometer every 4 hr. B. Place the client in a room with negative-pressure airflow. C. Serve cooked fruit with meals. D. Report temperatures greater than 39.5 C (102.3 F lasting more than 4 hr.)

Correct Answer is D

Explanation

A. The use of an incentive spirometer is more relevant for preventing respiratory complications, not related to the client's low WBC count.
B. Negative-pressure airflow rooms are typically used for clients with airborne infections, not those with low WBC counts.
C. Cooked fruits may be advisable to reduce the risk of bacterial contamination in immunosuppressed clients, but it does not directly address the low WBC count.
D. Reporting temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours is crucial as it may indicate an infection, and prompt intervention is needed in immunosuppressed clients.

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A nurse is caring for a client who is at the end of life. The client’s partner is concerned about using opioid narcotics to manage the client’s pain Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data for a client who has malnutrition resulting from a chronic illness. Which of the following manifestations should the nurse expect to find?

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for an older adult client who has a WBC of 2000/mm3 after three rounds of chemotherapy. Which of the following interventions should the nurse include in the plan?

Correct Answer is D

Explanation

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