A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

The client may benefit from additional laboratory tests to monitor disease progression.

The client may experience pain and discomfort due to the progression of their illness.

The client may need increased physical therapy sessions to maintain mobility.

The client may have elevated blood pressure due to an acute exacerbation of their condition.

Answer and Explanation

The Correct Answer is B

A. Additional laboratory tests: While monitoring is essential, at this stage, the priority is comfort, not disease progression.

B. Pain and discomfort: Mrs. Thompson is nearing the end of life and likely experiencing pain due to her advanced metastatic cancer. Pain management should always be a priority in palliative care.

C. Physical therapy: Physical therapy is not typically a priority in the end-of-life stage where the focus is on comfort rather than mobility.

D. Elevated blood pressure: This is unlikely to be the primary concern at this stage. Blood pressure is usually low, and interventions should be focused on comfort and symptom relief.

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Correct Answer is C

Explanation

A. "I will only take my medications when I remember, as long as I don't have any symptoms.": Inconsistent medication adherence, especially for chronic conditions, can lead to poor control and complications.

B. "I will avoid discussing my symptoms with my healthcare provider unless they become severe.": Early reporting of symptoms is critical for timely intervention and adjustment of the treatment plan.

C. "I will follow the treatment plan exactly as prescribed, even if I start to feel better before the treatment is complete." Adherence to the prescribed treatment plan ensures effective management of chronic conditions and prevents complications or relapse. Stopping treatment prematurely, even when symptoms improve, can lead to worsening conditions or incomplete recovery.

D. "I will seek immediate medical attention for any new or worsening symptoms, even if they seem minor.": While seeking attention for worsening symptoms is important, interpreting all minor changes as emergencies may lead to unnecessary healthcare utilization.

A. Black, tarry stools B. Dry mouth C. Bone pain D. Polyuria

Correct Answer is A

Explanation

A. Black, tarry stools: Celecoxib, a COX-2 inhibitor, can increase the risk of gastrointestinal bleeding, which can manifest as black, tarry stools. This is a serious adverse effect that should be reported.

B. Dry mouth: Dry mouth is not a common adverse effect of celecoxib. This is incorrect.

C. Bone pain: Bone pain is not a recognized adverse effect of celecoxib and may be related to the underlying osteoarthritis rather than the medication.

D. Polyuria: Polyuria is not associated with celecoxib. It is unrelated to the medication’s mechanism of action.

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A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about their responsibilities in managing their chronic condition. Which of the following statements by the client demonstrates an understanding of their healthcare responsibilities?

Correct Answer is C

Explanation

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Correct Answer is A

Explanation

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