A nurse is reinforcing teaching about end-of-life care with the partner of a client.Which of the following statements should the nurse make?
"Encourage your partner to eat three large meals each day.”.
"Opioids will be restricted if your partner develops respiratory distress.”.
"We will use an electric blanket to keep your partner warm.”.
"Assume your partner can hear you, even if they do not respond.”. .
The Correct Answer is D
Choice A rationale
Encouraging a partner to eat three large meals each day may not be appropriate in end-of-life care. Clients often have reduced appetite, and small, frequent meals are usually recommended to avoid overwhelming them.
Choice B rationale
Opioids are commonly used in end-of-life care to manage pain and distress. Even if respiratory distress occurs, opioids are not typically restricted, but rather adjusted to balance pain relief and respiratory function.
Choice C rationale
Using an electric blanket can pose safety risks, including burns or electrical hazards, especially if the client is unable to communicate discomfort. Instead, alternative methods such as warm blankets are safer.
Choice D rationale
Assuming the partner can hear even if they do not respond is important. Hearing is believed to be one of the last senses to fade, and speaking to the client can provide comfort and connection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Increased peripheral circulation is not a typical part of the aging process. In fact, aging is often associated with decreased circulation due to vascular changes and reduced cardiac output.
Choice B rationale
Constipation is more common in older adults due to factors like reduced intestinal motility, decreased fluid intake, and medication side effects, making it a relevant physiological change in aging.
Choice C rationale
Decreased muscle mass, or sarcopenia, is a common part of aging. It results from a combination of reduced physical activity, hormonal changes, and nutritional deficiencies.
Choice D rationale
A decreased cough reflex in older adults increases the risk of aspiration and respiratory infections. It results from changes in neurological function and reduced muscle strength.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Choice A rationale:
While hoarseness can be a symptom of aspiration pneumonia, it is not a direct cause. Hoarseness alone does not necessarily lead to aspiration pneumonia.
Choice B rationale:
Coughing when eating is a direct risk factor for aspiration pneumonia. Coughing indicates that food or liquid may be entering the airway, which can lead to aspiration pneumonia.
Choice C rationale:
Dysphagia (difficulty swallowing) can be a risk factor for aspiration pneumonia, but in this case, the client's symptoms (coughing when eating and hoarseness) are more directly associated with aspiration pneumonia.
Choice D rationale:
While coughing when eating can be a symptom of dysphagia, the primary concern here is the risk of aspiration pneumonia due to the same symptom.
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