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.”. .

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A,B,C,D,E

Explanation

A. Apply clean gloves.

B. Disconnect the tube from the suction device.

C. Instill 50 mL of air into the tube.

D. Ask the client to take a deep breath.

E. Pinch and withdraw the tube.

A. Use a narrower cuff to repeat the BP measurement. B. Request a prescription for an antihypertensive medication. C. Measure the client's BP in the other arm. D. Deflate the cuff faster when repeating the BP measurement.

Correct Answer is C

Explanation

Choice A rationale

Using a narrower cuff can result in an inaccurate blood pressure reading by providing artificially high values due to increased pressure on a smaller surface area.

Choice B rationale

Requesting a prescription for an antihypertensive medication is premature without verifying the accuracy of the initial blood pressure measurement and considering other factors that might have influenced the reading.

Choice C rationale

Measuring the client's blood pressure in the other arm can help confirm the initial reading. Differences in readings between arms can occur, and a second measurement ensures accuracy and proper assessment.

Choice D rationale

Deflating the cuff faster when repeating the blood pressure measurement can lead to inaccurate readings. The cuff should be deflated at a standard rate to ensure reliability and accuracy in the measurement. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which sequence should the nurse perform the following steps?

Correct Answer is A,B,C,D,E

Explanation

A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery.The client's BP was 126/72 mm Hg 15 min ago.The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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