A nurse is caring for a client who is terminally ill. Which of the following findings should the nurse identify as an indication that palliative care should be recommended?

Constipation

Serum albumin 5.2 g/dL (3.5 to 5 g/dL)

Apnea alternating with hyperventilation

Peripheral edema

Answer and Explanation

The Correct Answer is C

A. Constipation: While constipation is a common symptom in terminally ill clients, it is a manageable condition that does not necessarily indicate the need for palliative care. It can be addressed with medication and lifestyle adjustments.

B. Serum albumin 5.2 g/dL (3.5 to 5 g/dL): This is within normal range and does not suggest a need for palliative care. Normal albumin levels indicate adequate nutritional status and liver function, so there is no immediate indication for palliative care based on this finding.

C. Apnea alternating with hyperventilation: Apnea alternating with hyperventilation is a sign of impending respiratory failure, which can be a symptom of terminal illness and often occurs in the final stages of life. This indicates that the client may benefit from palliative care to address comfort and end-of-life needs.

D. Peripheral edema: Peripheral edema can occur due to causes such as heart failure or kidney dysfunction. While it can be distressing, it does not necessarily indicate that palliative care is required. It can be treated with medical interventions and does not imply end-of-life.

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Correct Answer is ["B","C","E"]

Explanation

A. "You will take medication for this condition for several months!": Hypothyroidism typically requires lifelong thyroid hormone replacement therapy, not just for several months. The client should be informed that they will need to take the medication for the long term.

B. "This condition can cause you to gain weight.": Weight gain is a common symptom of hypothyroidism due to a slowed metabolism. The nurse should include this in the teaching to help the client understand how the condition may affect their weight.

C. "We will perform laboratory tests to monitor the effect of your medication.": Regular monitoring of thyroid function tests (such as TSH and T4 levels) is essential to ensure that the medication is effective and that the dosage is appropriate.

D. "You might notice that you perspire more with this condition.": Hypothyroidism typically causes cold intolerance and reduced perspiration, not increased perspiration. This statement is incorrect and should not be included in the teaching.

E. "You will need to eat a high-fiber diet to prevent complications of this condition.": Hypothyroidism can lead to constipation due to a slowed metabolism. A high-fiber diet is recommended to help prevent constipation and promote regular bowel movements.

A. "This vaccine is strictly for people assigned female at birth” B. "I will not need to use condoms after take the vaccine.” C. "This vaccine will help prevent me from developing cervical cancer.” D. "This vaccine is recommended for people older than age 50.”

Correct Answer is C

Explanation

A. "This vaccine is strictly for people assigned female at birth": The HPV vaccine is not exclusive to individuals assigned female at birth. It is recommended for both males and females to prevent HPV-related cancers, including cervical, anal, and oropharyngeal cancers.

B. "I will not need to use condoms after taking the vaccine": While the HPV vaccine provides protection against certain strains of the virus, it does not eliminate the risk of contracting other sexually transmitted infections (STIs) such as HIV.

C. "This vaccine will help prevent me from developing cervical cancer.": The HPV vaccine helps prevent infection with the strains of HPV most commonly linked to cervical cancer. It also protects against other HPV-related cancers, such as anal, throat, and penile cancers.

D. "This vaccine is recommended for people older than age 50.": The HPV vaccine is typically recommended for individuals between the ages of 9 and 26, with some guidelines extending it to ages 45. It is not generally recommended for those over age 50.

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A nurse is caring for a client who is terminally ill. Which of the following findings should the nurse identify as an indication that palliative care should be recommended?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is teaching a group of clients who plan to receive the human papillomavirus (HPV) Immunization. Which of the following statements by a group member indicates an understanding of the teaching?

Correct Answer is C

Explanation

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