The client who is terminally ill has unrelieved and intractable pain. The nurse is administering hydromorphone intravenously. The client states, "I want you to give me additional medication so I will die. I cannot go on any longer!” What action would the nurse take?
State. "This is not something I or any of the nurses can do."
Ignore the client's statement, and limit any contact with the client.
Obtain additional medication from the automated medication system that would hasten the client's death.
Contact the health care provider to request additional intravenous medication to honor the client's request
The Correct Answer is A
A. State, "This is not something I or any of the nurses can do.": Nurses have an ethical and legal duty to avoid participating in any form of euthanasia. A therapeutic response should acknowledge the client’s suffering while reinforcing the nurse’s role in providing compassionate, appropriate care.
B. Ignore the client's statement, and limit any contact with the client: Ignoring such a statement dismisses the client’s distress and emotional pain, and it undermines trust and therapeutic communication at a critical time.
C. Obtain additional medication from the automated medication system that would hasten the client's death: This action would be both illegal and unethical, constituting active euthanasia and a serious violation of professional standards.
D. Contact the health care provider to request additional intravenous medication to honor the client's request: While providers may adjust pain management, honoring a request to hasten death is not permissible and would breach ethical and legal boundaries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Granulation tissue forming at the bottom of the wound: This is typical of healing by secondary intention, where the wound is left open to heal from the base upward through granulation tissue formation and contraction.
B. Wound is contaminated at the time of injury: Contamination increases the risk of infection and usually results in delayed healing or healing by secondary intention, requiring more extensive wound care.
C. Skin edges of the wound are sutured closed: Healing by first intention occurs when wound edges are closely approximated, such as with sutures or staples, allowing faster healing with minimal scarring and reduced infection risk.
D. Healing of the wound is prolonged: First intention wounds typically heal faster than wounds healing by secondary intention because there is less tissue loss, inflammation, and risk of complications like infection.
Correct Answer is ["2"]
Explanation
Desired Dose: 150 mg.
Available Dose per Tablet: 75 mg.
Number of Tablets = Desired Dose / Available Dose per Tablet
= 150 mg / 75 mg
= 2 tablets
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