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."
"We will use an electric blanket to keep your partner warm."
"Opioids will be restricted if your partner develops respiratory distress."
"Assume your partner can hear you, even if they do not respond."
The Correct Answer is D
Choice A Reason:
"Encourage your partner to eat three large meals each day." In end-of-life care, the focus shifts from large meals to providing comfort and meeting the patient's nutritional needs, which might not involve large meals due to potential decreased appetite or difficulty swallowing.
Choice B Reason:
"We will use an electric blanket to keep your partner warm. “While keeping the patient warm is essential, the use of an electric blanket might not always be appropriate due to the risk of burns or changes in sensation that can occur in some conditions.
Choice C Reason:
"Opioids will be restricted if your partner develops respiratory distress. “This statement might not convey the full context of pain and symptom management in end-of-life care. Opioids are often used judiciously to manage distressing symptoms, including pain and respiratory distress, under careful monitoring rather than being strictly restricted.
Choice D Reason:
"Assume your partner can hear you, even if they do not respond." This statement emphasizes the importance of communication and connection with the partner who may be unresponsive. Research suggests that hearing may persist even when a person is unable to respond, so speaking to the person respectfully and with care can provide comfort and support during this time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Keeping the infant in a visually stimulating environment might not directly address the nutritional or developmental needs of an infant with failure to thrive. While visual stimulation is essential for infant development, it's not the primary intervention for this condition.
Choice B Reason:
Assigning consistent nursing staff to care for the infant can provide stability and continuity, which can positively impact the infant's emotional well-being. However, this alone might not address the underlying issues related to failure to thrive.
Choice C Reason:
Giving the infant fruit juice between feedings might not be the best approach. Fruit juice can fill an infant's stomach without providing the necessary nutrients, potentially further reducing the intake of essential formula or breast milk.
Choice D Reason:
Using half-strength formula when feeding the infant isn't recommended without specific guidance from a healthcare provider. Diluting formula can compromise the infant's nutritional intake, potentially exacerbating the issue of failure to thrive.
Correct Answer is B
Explanation
Choice A Reason:
The child exhibits a gag reflex when stimulated with a tongue blade. The gag reflex involves the glossopharyngeal nerve (cranial nerve IX) and vagus nerve (cranial nerve X), not the trigeminal nerve.
Choice B Reason:
The child has symmetrical jaw strength when biting down is correct. This finding indicates proper functioning of the child's trigeminal nerve. Symmetrical jaw strength when biting down suggests that both sides of the jaw muscles, which are innervated by the trigeminal nerve, are functioning equally and appropriately.
Choice C Reason:
The child maintains balance when standing with eyes closed is incorrect. This assessment involves the vestibular system and coordination, which are primarily associated with the vestibulocochlear nerve (cranial nerve VIII), not the trigeminal nerve.
Choice D Reason:
The child correctly identifies specific scents is incorrect. The olfactory nerve (cranial nerve I) is responsible for the sense of smell, not the trigeminal nerve.
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