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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Drink 4 to 6 ounces of juice.": Drinking 4 to 6 ounces of juice, which contains carbohydrates, will quickly raise blood glucose levels. This amount is sufficient to correct mild hypoglycemia.
B. "Consume two glucose tablets and check your blood glucose 1 hour later.": After consuming glucose tablets, the client should check their blood glucose in about 15 minutes, not 1 hour. If blood glucose is still low, more glucose should be consumed sooner.
C. "Consume 1 teaspoon of corn syrup-based glucose gel.": One teaspoon of glucose gel is not enough to treat hypoglycemia. A typical recommendation would be 15-20 grams of fast-acting carbohydrates (e.g., glucose tablets or juice), which is more than 1 teaspoon of gel.
D. "Eat two crackers with peanut butter.": This combination is not ideal for treating hypoglycemia quickly. The protein in peanut butter will slow the absorption of glucose, which delays the correction of hypoglycemia. Fast-acting carbohydrates are preferred for rapid treatment.

A. Temperature B. Blood glucose C. WBC D. Heart rate E. Urinary frequency F. Blood pressure G. Wound appearance

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

Explanation

Rationale for Correct Choices

Blood glucose: The client’s blood glucose decreased from 250 mg/dL to 140 mg/dL, indicating a positive response to diabetes management through medication and dietary adherence. This is a key marker of metabolic control in diabetes.
Urinary frequency: Two weeks ago, the client reported "frequent urination" (polyuria), which is a classic symptom of uncontrolled hyperglycemia. Today, this symptom is not reported, and given the improvement in blood glucose, it's highly probable that the polyuria has resolved or significantly decreased.

Rationale for Incorrect Choices

Temperature: The client’s temperature increased from 38.3°C to 39.0°C, suggesting a worsening or persistent infection. An increasing fever is a negative trend and does not indicate improvement.
WBC: The WBC count rose from 9,500/mm³ to 11,200/mm³, exceeding the normal upper limit. This may reflect an active or worsening infection, especially in the context of a draining foot wound and elevated temperature.
Heart rate: The heart rate remains elevated at 106/min (tachycardia) compared to the previous 104/min. Persistent tachycardia can be a sign of systemic infection or dehydration and is not a sign of clinical improvement.
Blood pressure: The blood pressure decreased from 98/74 mm Hg to 90/68 mm Hg, which may suggest worsening hemodynamic status and possible sepsis. Hypotension is not an indicator of improvement.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 type 1 diabetes mellitus about treating a hypoglycemic episode. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

Exhibits Select the 2 findings that indicate the client's condition is improving.

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

Explanation

The nurse is caring for the client who has iron deficiency anemia. Exhibits Which of the following instructions should the nurse include? Select all that apply.

A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?

A nurse is reviewing the laboratory results of a female client who has cirrhosis. Which of the following findings should the nurse identify as a complication?

A nurse is planning teaching about methods to reduce incontinent episodes for a client who has stress incontinence. Which of the following Instructions should the nurse plan to include?

A nurse is caring for a client who has pulmonary edema and a new prescription for furosemide 40 mg IV twice daily. Which of the following client findings indicates the prescription is appropriate?

A nurse is changing the dressing for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?

A nurse is caring for a client who has right-sided heart failure. The nurse should assess the client for which of the following manifestations?

A nurse in a provider's office is caring for a client. Exhibits Complete the following sentence by using the lists of options. The first action the nurse should take is dropdownfollowed bydropdown.