A nurse is preparing to discharge a client who has enD. stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

Contact the case manager to discuss discharge options.

Request another family member assist the client's partner with care.

Ask the provider to delay the client's discharge home for a few more days.

Recommend the partner place the client in a long-term care facility.

Answer and Explanation

The Correct Answer is A

the case manager can help explore alternatives discharge options which respects the state of the caregiver as well as the needs of the client.

The other options are inappropriate as they do not address the concerns of the caregiver.

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Correct Answer is B

Explanation

Being difficult to arouse may be and indicator of respiratory depression which is a common side effect of opioid use. This is more common when given in high doses. Although benzodiazepines could cause respiratory depression, the risk is lower.

A. opioid is more likely to be the cause of respiratory depression

C. continuing the medications despite the increased risk of respiratory depression is unethical

D. An NSAID is unlikely to provide optimal analgesia which is a key goal in end of life care,

A. Requesting a referral for the client to attend reminiscent therapy sessions B. Reorienting the client several times throughout the day C. Providing assistance for the client when ambulating down the hall D. Performing an updated cognitive assessment on the client

Correct Answer is A

Explanation

Acting as the client’s advocate requires the nurse to act in a way that protects the client’s interests, rights and promote dignity. Reminiscent therapy uses good memories to improve cognitive capacity and self-esteem. Requesting this referral, the nurse makes a crucial decision that is in the client’s best interest.

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A nurse is preparing to discharge a client who has enD. stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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