A patient with terminal lymphoma says to the nurse, "I'm tired of being so fatigued all the time. Can't you just give me a big shot of morphine and help me end this suffering? Which of the following responses by the nurse is most appropriate?

"You have orders for morphine 10 to 15 mg I don't think that's enough to end your suffering"

"That is really not appropriate to ask. Would you like a shot to take away the pain?"

"Are you sure that is what you want me to do? Maybe you should think about it first."

"You sound frustrated. It must be difficult to feel so tired all the time."

Answer and Explanation

The Correct Answer is D

A.   This response focuses solely on the adequacy of the medication dosage and does not address the patient's emotional distress.

B.   This response dismisses the patient's request and does not address the underlying feelings of suffering.
C.   This response does not provide support or explore the patient's feelings further and may come across as judgmental.
D.   This response acknowledges the patient's feelings and opens the door for further discussion and exploration of their emotional distress.

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Correct Answer is C

Explanation

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

A. Bright orange B. Dark-amber C. Pale yellow D. Red

Correct Answer is B

Explanation

A. Bright orange urine could be caused by certain medications, such as rifampicin and phenazopyridine or food dyes, such as those containing carotene.
B. This is because the obstruction of the bile duct leads to an accumulation of bilirubin in the blood, which is then excreted in the urine, giving it a darker color.
C. Pale yellow urine is indicative of normal urine coloration and is not specific to bile duct obstruction.

D. Red urine could indicate the presence of blood, which might suggest other conditions such as urinary tract infections or kidney stones, but not typically bile duct obstruction.

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A patient with terminal lymphoma says to the nurse, "I'm tired of being so fatigued all the time. Can't you just give me a big shot of morphine and help me end this suffering? Which of the following responses by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Correct Answer is C

Explanation

A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?

Correct Answer is B

Explanation

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A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?

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