The nurse is assessing a client who is near death. Which of the following findings would indicate to the nurse that the client is in the actively dying phase?

Restlessness

Decreased appetite

Skin pallor

Anuria

Answer and Explanation

The Correct Answer is D

A. Restlessness: This may occur in the pre-active phase of dying but is not specific to the actively dying phase.

B. Decreased appetite: A reduced appetite is common earlier in the dying process, not specific to the actively dying phase.

C. Skin pallor: Skin changes, such as pallor, occur earlier; mottling is more indicative of the actively dying phase.

D. Anuria: Anuria (absence of urine output) is a hallmark sign of multisystem failure and the actively dying phase.

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Correct Answer is B

Explanation

A. Aspirin 325 mg PO: Aspirin is important for preventing clot formation but should not be administered until a hemorrhagic stroke is ruled out.

B. Non-contrast computed tomography (CT) scan: This is the priority because it determines whether the stroke is ischemic or hemorrhagic, guiding further treatment.

C. Electrocardiogram (ECG): While assessing cardiac rhythm is important, it is not the immediate priority in the presence of stroke symptoms.

D. Simvastatin (Zocor) 80 mg PO: Statins are used for long-term management but are not urgent in this acute scenario.

A. It decreases spasm of the coronary arteries B. It increases the force of myocardial contraction C. It helps prevent clotting in the coronary arteries. D. It reduces the "fight or flight" response.

Correct Answer is A

Explanation

A. It decreases spasm of the coronary arteries: Amlodipine is a calcium channel blocker that relaxes vascular smooth muscle, making it effective in treating coronary artery spasms in Prinzmetal's angina.

B. It increases the force of myocardial contraction: Amlodipine does not increase myocardial contractility; it primarily affects vascular tone.

C. It helps prevent clotting in the coronary arteries: Amlodipine is not an anticoagulant or antiplatelet agent.

D. It reduces the "fight or flight" response: Beta-blockers, not amlodipine, are typically associated with reducing the sympathetic nervous system response.

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The nurse is assessing a client who is near death. Which of the following findings would indicate to the nurse that the client is in the actively dying phase?

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Naxlex Comprehensive Predictor Exams

A client with new onset right-sided weakness is admitted to the emergency department and the following orders are received. Which order should the nurse implement first?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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