The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

harsh and rattling.

long periods of fast deep breaths.

shallow followed by periods of apnea.

Wheezing and labored.

Answer and Explanation

The Correct Answer is C

A. Harsh and rattling: Harsh and rattling respirations are indicative of other respiratory conditions, such as respiratory tract obstruction or excessive secretions in the airways, rather than Cheyne-Stokes respiration.

B. Long periods of fast deep breaths: This describes hyperventilation, where there are rapid and deep breaths without periods of apnea, which is not characteristic of Cheyne-Stokes respiration.

C. Shallow followed by periods of apnea: Cheyne-Stokes respiration is characterized by a pattern of gradually increasing and then decreasing depth of respirations, followed by periods of apnea (no breathing). This pattern repeats cyclically.

D. Wheezing and labored: Wheezing and labored respirations are associated with conditions such as asthma or chronic obstructive pulmonary disease (COPD), rather than Cheyne-Stokes respiration.

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Correct Answer is A

Explanation

A. This response aligns with best practices in hospice care, which prioritize comfort and quality of life for terminally ill patients. Dehydration is a common occurrence at the end of life and is generally not associated with discomfort when managed appropriately. IV fluids or tube feedings may cause discomfort, contribute to fluid overload, or lead to complications such as aspiration pneumonia.

B. While the healthcare proxy may have the authority to make decisions on behalf of the patient, the focus should be on honoring the patient's wishes as expressed in advance directives. If the patient has clearly indicated a preference against IV fluids or tube feedings in their advance directives, this should be respected.

C. Encouraging the family to try to talk the patient into accepting IV fluids or tube feedings goes against the principles of patient autonomy and informed decision-making. The decision regarding medical interventions should be based on the patient's preferences and comfort.

D. While dehydration can be uncomfortable in some circumstances, providing adequate symptom management, including pain medication, is essential in hospice care. However, IV fluids or tube feedings are not typically used to manage dehydration in patients who are at the end of life, as they may not improve comfort and can lead to complications.

A. "l can now eat whatever I want. It will be dialyzed out of my system." B. "l know that renal failure runs in my family and I can prevent it." C. "l just can't believe that my whole life is going to be ruined by dialysis." D. "l know that I will get a kidney transplant. I am a good candidate."

Correct Answer is C

Explanation

A. "I can now eat whatever I want. It will be dialyzed out of my system.": This statement reflects a lack of understanding about the dietary restrictions and lifestyle changes necessary with chronic renal failure rather than anticipatory grief.

B. "I know that renal failure runs in my family and I can prevent it.": This statement suggests a focus on prevention and may not indicate anticipatory grief. It reflects the client's awareness of their family history and their belief in their ability to take preventive measures.

C. "I just can't believe that my whole life is going to be ruined by dialysis.": This statement expresses a sense of disbelief and distress about the impact of dialysis on the client's life. It suggests that the client is already grieving the perceived loss of their previous way of life, indicating anticipatory grief.

D. "I know that I will get a kidney transplant. I am a good candidate.": This statement reflects hope and optimism about the possibility of a kidney transplant, which may not align with anticipatory grief. It indicates the client's understanding of treatment options and a positive outlook for the future.

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The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

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Naxlex Comprehensive Predictor Exams

A hospice patient is unable to tolerate food or fluids and has advance directives that indicate that he does not want IV fluids or tube feedings if he is unable to take oral feedings. His family is concerned that he will be very uncomfortable without food or fluids. The nurse should tell them that:

Correct Answer is A

Explanation

A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

Correct Answer is C

Explanation

A 33-year-old patient has been told that her disease is terminal. The patient is crying and states, "l will just be a dependent drain on my family. I hate being a burden to them." The nurse can best respond:

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "I'm going after that company for using that chemical on the field next door. "

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

When a patient admitted for terminal care is asked by the admitting nurse, "What has your doctor told you about your illness?" the patient states, "She says that I have a terminal illness, but I know she’s wrong." The nurse recognizes that:

A nurse is providing postmortem care for a client. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A terminally ill patient is angry and belligerent. He yells at the nurses and his family for not coming quickly enough when he calls, and he states that he isn't receiving the care he needs. The nurse's most informative response would be:

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. Tells God: "If I quit smoking I can just live until after my daughter's wedding."