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A nurse is providing teaching about physiological changes that occur during the dying process to the family of a client who has a terminal illness. Which of the following manifestations should the nurse include?

Increased thirst

Decreased secretions

Flushing of the extremities

Periods of apnea

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Increased thirst is a common manifestation during the dying process due to dehydration and reduced fluid intake.

Choice B rationale:

Decreased secretions can occur as the body's systems gradually shut down during the dying process.

Choice C rationale:

Flushing of the extremities, also known as mottling, can occur due to poor circulation as the body's systems shut down.

Choice D rationale:

Periods of apnea or irregular breathing patterns can occur as the body's respiratory system becomes less effective during the dying process.

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Correct Answer is C

Explanation

Choice A rationale:

Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.

Choice B rationale:

Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.

Choice C rationale:

Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.

Choice D rationale:

Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.

A. Refer the client to crisis intervention services. B. Determine the client's previous methods of coping with crisis. C. Discuss with the client the cause of the crisis. D. Assist the client to develop strategies to overcome the crisis.

Correct Answer is B

Explanation

Choice A rationale:

Referring the client to crisis intervention services might be necessary, but before doing so, the nurse should gather information to understand the client's current situation and coping mechanisms.

Choice B rationale:

Assessing the client's previous coping methods helps the nurse understand the client's strengths and provides insights into potential strategies for managing the crisis effectively.

Choice C rationale:

Discussing the cause of the crisis might be helpful, but it's important to first assess the client's current coping abilities and resources.

Choice D rationale:

Assisting the client in developing strategies to overcome the crisis is important, but it should come after a thorough assessment of the client's current coping mechanisms and situation.

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A nurse is providing teaching about physiological changes that occur during the dying process to the family of a client who has a terminal illness. Which of the following manifestations should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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