A nurse who works effectively with clients who are dying recognizes that

nurses must be comfortable with their own feelings about death.

hospice services are preferable as death nears.

some pain accompanies most deaths.

most people are not frightened to die if they have adequate information about what is happening.

Answer and Explanation

The Correct Answer is A

A. It's essential for nurses caring for dying patients to be comfortable with their own feelings about death and dying. Being comfortable with mortality allows nurses to provide compassionate care, support families, and engage in end-of-life discussions with patients. Nurses who are comfortable with their own feelings about death are better equipped to provide holistic care and support to dying patients and their families.
B. Hospice services focus on providing comfort and support to terminally ill patients and their families during the end-of-life journey. While hospice services are often beneficial and recommended for patients approaching the end of life, preferences vary among individuals and families. Some patients may choose to receive hospice care, while others may prefer to remain at home with palliative care support or receive care in a hospital or long-term care facility.
C. While some patients may experience pain as death nears, it is not necessarily true that "most" deaths are accompanied by significant pain. With advances in palliative care and pain management, many patients can experience a comfortable and peaceful death with effective symptom management.
D. Most people are not frightened to die if they have adequate information about what is happening: While adequate information and preparation can alleviate some fears about death, attitudes and responses to death vary widely among individuals. Some people may find comfort and acceptance in understanding the dying process and what to expect, while others may still experience fear, anxiety, or uncertainty regardless of the information provided.

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Correct Answer is A

Explanation

A. Metabolic alkalosis is characterized by an elevation of the bicarbonate (HCO3) levels in the blood, leading to an increase in pH above the normal range (7.35-7.45). Antacid tablets typically contain compounds such as calcium carbonate, magnesium hydroxide, or aluminum hydroxide, which can neutralize stomach acid (hydrochloric acid). Chronic ingestion of large amounts of antacids, as in the case of this client taking approximately 15 tablets per day, can result in excessive bicarbonate intake, leading to metabolic alkalosis.
B. Respiratory alkalosis occurs when there is a decrease in carbon dioxide (CO2) levels in the blood, leading to an increase in pH above the normal range. Antacid tablets do not directly affect respiratory function or CO2 levels, so respiratory alkalosis is unlikely to occur as a result of antacid ingestion.
C. Metabolic acidosis is characterized by a decrease in bicarbonate (HCO3) levels in the blood, leading to a decrease in pH below the normal range. In the context of antacid ingestion, metabolic acidosis is less likely to occur. However, if the antacids contain compounds that are absorbed systemically and excreted by the kidneys (such as aluminum-containing antacids), they may lead to renal dysfunction or electrolyte imbalances, which could potentially contribute to metabolic acidosis.
D. Respiratory acidosis occurs when there is an increase in carbon dioxide (CO2) levels in the blood, leading to a decrease in pH below the normal range. Antacid tablets do not directly affect respiratory function or CO2 levels, so respiratory acidosis is unlikely to occur as a result of antacid ingestion.

A. continue taking the sedative and discuss slowly decreasing the dose with the physician. B. take the last pill on a Friday so that extra sleep can be obtained on the weekend. C. continue to take the pills since sleeping without them will be very difficult. D. stop taking the medication and take an antihistamine instead.

Correct Answer is A

Explanation

A. Gradual tapering of benzodiazepines under medical supervision is recommended to minimize withdrawal symptoms and rebound insomnia. The client should continue taking the medication as prescribed while discussing a tapering plan with their physician.
B. Abruptly stopping benzodiazepines can lead to withdrawal symptoms, including rebound insomnia, anxiety, agitation, and even seizures. Planning to stop medication on a specific day without medical guidance can increase the risk of withdrawal symptoms occurring during the workweek.

C. While it may be challenging to sleep without benzodiazepines initially, continued use can lead to dependence and tolerance, making it even more challenging to discontinue them in the future. Gradual tapering under medical supervision is the preferred approach.
D. Antihistamines are not typically used as substitutes for benzodiazepines in managing insomnia. Additionally, abruptly stopping benzodiazepines and switching to another medication without medical guidance can lead to withdrawal symptoms and inadequate management of insomnia.

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A nurse who works effectively with clients who are dying recognizes that

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of takes about 15 antacid tablets per day. The nurse understands that this client is at risk for:

Correct Answer is A

Explanation

A client who has been taking benzodiazepine sedative every night for two weeks wishes to stop taking them now. The nurse advises the client to:

Correct Answer is A

Explanation

The client asks the nurse not to tell the family about the medical diagnosis. In meeting this request, the nurse would be upholding which of the following?

Which of the following are physiologic manifestations which occur in the alarm stage of the General Adaptation Syndrome? (SELECT ALL THAT APPLY)

A nurse is caring for a client who is newly diagnosed with cancer. Which of the following nursing interventions to maximize successful coping to the treatment plan should the nurse initiate at this time? (SELECT ALL THAT APPLY)

A drug that is classified as being a "hypnotic" means that it will:

A client requires a medication immediately. Which abbreviation would be written in the physician's order for this medication?

A nurse is caring for a client suspected of having a pulmonary embolism. The client's arterial blood gas results indicate respiratory alkalosis. Which findings support this diagnosis?

A client is admitted with a suspected opioid overdose and a respiratory rate of 6 breaths per minute. Which of the following data would the nurse anticipate? (SELECT ALL THAT APPLY)

A client develops pressure injuries because turning and positioning were not done as ordered. The nurse is aware that this is an example of which type of liability?