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 A

Explanation

A. Screening for blood sugar levels. Secondary prevention focuses on early detection of diseases to initiate timely interventions and prevent complications. Blood sugar screening identifies individuals with prediabetes or undiagnosed diabetes.

B. Demonstrating a 15-minute exercise routine: This is a primary prevention activity aimed at reducing risk factors before the disease develops.

C. Educating about stress management strategies: Stress management education is a primary prevention strategy focused on preventing risk factors associated with diabetes.

D. Providing a cooking lesson using sugar alternatives: This is primary prevention, promoting healthy habits to prevent diabetes rather than detecting it early.

A. Pain that has been present for more than six months and is associated with ongoing tissue damage. B. Pain that occurs suddenly and is typically related to a specific injury or trauma. C. Pain that fluctuates in intensity and is often accompanied by changes in mood and behavior. D. Pain that is described as dull and persists despite the absence of an obvious cause.

Correct Answer is B

Explanation

A. Pain that has been present for more than six months and is associated with ongoing tissue damage: This describes chronic pain, which persists over time and is not indicative of acute pain.

B. Pain that occurs suddenly and is typically related to a specific injury or trauma. Acute pain is characterized by its sudden onset, often associated with a specific cause, such as injury or surgery.

C. Pain that fluctuates in intensity and is often accompanied by changes in mood and behavior: This describes chronic pain, which may have episodic flare-ups and can impact emotional well-being.

D. Pain that is described as dull and persists despite the absence of an obvious cause: This is more indicative of chronic pain, which may not be directly linked to ongoing tissue damage.

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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 in a public clinic is planning a health fair for clients in the community who are at risk for developing type 2 diabetes mellitus. Which of the following activities should the nurse include for secondary prevention?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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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?

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