A terminally ill patient is experiencing a great deal of dyspnea and noisy, "rattling" rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:
decrease pain caused by dyspnea.
dry up secretions that are causing rattling.
decrease respiratory rate and relieve dyspnea.
hasten death by stopping respirations.
The Correct Answer is C
A. Administering morphine can help decrease pain associated with dyspnea, but the primary goal in this scenario is to address the dyspnea itself rather than pain specifically.
B. While morphine can help dry up secretions to some extent, its primary action in this context is to alleviate dyspnea by reducing respiratory effort and rate.
C. Morphine is commonly used in palliative care to relieve dyspnea by depressing the respiratory center in the brain, leading to a decrease in respiratory rate and effort. This helps alleviate the sensation of breathlessness and discomfort associated with dyspnea.
D. Administering morphine in small doses for dyspnea relief is not intended to hasten death but rather to provide comfort and relief from distressing symptoms at the end of life. The goal is to improve quality of life rather than hastening death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. The respiratory rate increasing may indicate discomfort or agitation rather than a therapeutic response to the massage.
B. The shoulders drooping may indicate relaxation, a release of tension and potentially improved comfort.
C. The relaxation of facial muscles indicates a therapeutic response to the back massage, as it suggests the client is experiencing relief from tension or discomfort.
D. Drawing the legs up into a fetal position may indicate discomfort or agitation rather than a therapeutic response to the massage.
E. The pulse remaining within the expected range suggests that the client is not experiencing undue stress or discomfort in response to the massage, indicating a therapeutic response.
Correct Answer is B
Explanation
A. Brain death: Brain death refers to the irreversible cessation of all brain activity, indicating the end of life. It is not related to the type of grief that occurs before an actual loss.
B. Anticipatory: Anticipatory grief refers to the grief and mourning that occur before an anticipated loss, such as when a loved one is terminally ill or nearing the end of life. It allows individuals to begin the grieving process before the actual loss occurs, which can help them prepare emotionally and psychologically for the inevitable outcome.
C. Bereavement: Bereavement refers to the period of mourning and adjustment after the loss of a loved one. It occurs after the actual loss, not before it.
D. Dysfunction: Dysfunction typically refers to impaired or abnormal functioning. It does not describe the type of grief that occurs before an actual loss.
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