The nurse is caring for a client who is terminally ill and is being transferred to hospice at home. What would the nurse identify as the primary factor in planning the client's care in the home?

Client preferences

Home environment

Socioeconomic status

Family preferences

Answer and Explanation

The Correct Answer is A

A. Client preferences. In hospice care, the client's preferences are the most important factor in planning care. This includes their choices for comfort, treatments, and living arrangements during the end-of-life process.

B. Home environment. While the home environment is important, the client’s wishes and preferences should take precedence in planning their care.

C. Socioeconomic status. Socioeconomic status is not as crucial as the client’s preferences and values in planning hospice care.

D. Family preferences. While family preferences may play a role, the primary focus in hospice care is the client’s wishes for their end-of-life care.

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Correct Answer is ["B","E","F"]

Explanation

A. Amiodarone: This is an antiarrhythmic, not a vasopressor.

B. Dopamine: Dopamine has vasopressor effects, increasing blood pressure and cardiac output.

C. Adenosine: This is used to treat supraventricular tachycardia, not for vasopressor purposes.

D. Atropine: Atropine increases heart rate by inhibiting parasympathetic activity but is not a vasopressor.

E. Norepinephrine: Norepinephrine is a potent vasopressor that increases systemic vascular resistance and blood pressure.

F. Epinephrine: Epinephrine has vasopressor and inotropic effects, making it critical during cardiac arrest.

A. The new graduate nurse elevates the client's head of the bed to 30 degrees. B. The new graduate nurse administers an analgesic before turning the client. C. The new graduate nurse is frequently suctioning the client without breaks. D. The new graduate nurse assesses the client's neurologic status every hour.

Correct Answer is C

Explanation

A. The new graduate nurse elevates the client's head of the bed to 30 degrees. Elevating the head of the bed to 30 degrees helps reduce ICP by promoting venous drainage from the brain.

B. The new graduate nurse administers an analgesic before turning the client. Analgesics are often necessary before turning a client with a head injury to minimize discomfort and prevent additional stress.

C. The new graduate nurse is frequently suctioning the client without breaks: Frequent suctioning without breaks can increase intracranial pressure (ICP) and compromise the patient's condition. Suctioning should be done with caution and only as needed, allowing for breaks in between to prevent ICP elevation.

D. The new graduate nurse assesses the client's neurologic status every hour. Regular neuro assessments are necessary for patients with head injuries to monitor changes in condition.

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The nurse is caring for a client who is terminally ill and is being transferred to hospice at home. What would the nurse identify as the primary factor in planning the client's care in the home?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is found in cardiac arrest. Which medications would the nurse want to have available for their vasopressor effect? Select All That Apply

Correct Answer is ["B","E","F"]

Explanation

The charge nurse observes a new graduate nurse who is caring for a client who has a severe head injury. Which action by the new graduate nurse requires the charge nurse to intervene?

Correct Answer is C

Explanation

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