An adult client was diagnosed with stage IV lung cancer three weeks ago. The client's spouse approaches the nurse and asks how to know that the spouse's death is imminent because their two adult children want to be there when the client dies. Which is the best response by the nurse?

Explain the client will start to lose consciousness and the body systems will slow down.

Offer to discuss the client's health status with each of the adult children.

Gather information regarding how long it will take for the children to arrive.

Reassure the spouse that the healthcare provider will notify when to call the children.

Answer and Explanation

The Correct Answer is A

A. Explaining the physiological signs of imminent death helps prepare the spouse and family for what to expect, allowing them to gather as needed.

B. While discussing the client’s health status may be supportive, it does not directly address the spouse’s request for understanding signs of impending death.

C. Gathering information about how long it will take for the children to arrive is important but secondary to providing the spouse with information about impending signs of death.

D. While reassuring the spouse is important, it may not provide the immediate information they seek about recognizing the signs of dying.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Assigning the UAP to less complex clients may not adequately assess their competencies.

B. Reviewing documentation provides useful background information, but it does not verify actual competency in performing tasks. Direct observation is necessary.

C. While pairing with an experienced UAP may provide guidance, it does not replace the nurse’s responsibility to assess competency and ensure safe care.

D. The nurse is responsible for ensuring that all team members provide safe and appropriate care. Before assigning tasks, the nurse should assess the newly hired UAP’s competency by directly observing them perform client care. This helps determine their skill level and ensures client safety.

A. Obtain a focused history to determine recent bleeding and use of anticoagulants. B. Raise the head of the bed to 30 degrees keeping head and neck in neutral alignment. C. Maintain elevated positioning of the dependent joints an affected side. D. Initiate bilateral intermittent sequential pneumatic compression devices.

Correct Answer is B

Explanation

A. Obtaining a focused history is important for understanding the client’s condition but is not the immediate priority in acute stroke management.

B. Raising the head of the bed to 30 degrees while keeping the head and neck in neutral alignment is essential in stroke management to promote cerebral perfusion and prevent increased intracranial pressure.

C. Maintaining elevated positioning of dependent joints is not as critical as ensuring proper alignment of the head and neck in the context of stroke care.

D. Initiating bilateral intermittent sequential pneumatic compression devices is relevant for preventing deep vein thrombosis but is not the priority in managing acute stroke symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

An adult client was diagnosed with stage IV lung cancer three weeks ago. The client's spouse approaches the nurse and asks how to know that the spouse's death is imminent because their two adult children want to be there when the client dies. Which is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newly hired unlicensed assistive personnel (UAP) is assigned to a home healthcare team along with two experienced UAPs. Which intervention should the home health nurse implement to ensure adequate care for all clients?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A young adult is brought to the emergency department after taking a handful of drugs. The client is unresponsive, so an endotracheal tube (ETT) is inserted. How should the nurse determine if the ETT is correctly placed? Select all that apply.

A client admitted with pneumonia and on bedrest has not had the strength to perform self care. Which assessment finding provides the nurse with the earliest indication that the client is developing a pressure injury?

The nurse observes that a client with ascites is dyspneic. Which action should the nurse implement first?

The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?

The parent of a 7-month-old brings the infant to the clinic because the skin in the diaper area is excoriated and red, but there are no blisters or bleeding. The parent reports no evidence of watery stools. Which nursing intervention should the nurse implement?

A client is admitted with an exacerbation of heart failure secondary to chronic obstructive pulmonary disease (COPD). Which observation(s) by the nurse require immediate intervention to reduce the likelihood of harm to this client? Select all that apply.

Exhibits The nurse considers the brief interaction with the client and the triage report. What finding(s) should the nurse investigate further? Select all that apply.