The practical nurse (PN) has been regularly assigned the care of an older adult client who resides in a long term care facility. When the client is told that they have a terminal illness, which action is best for the PN to take?
Quickly complete tasks and leave client's room.
Request the chaplain to talk with client.
Ask the client if praying together would help.
Remain quietly in the client's room for a while.
The Correct Answer is D
A. Quickly complete tasks and leave client's room: Leaving the room quickly can make the client feel abandoned and isolated at a time when emotional support is crucial. Presence and attentive listening are important components of compassionate end-of-life care.
B. Request the chaplain to talk with client: While involving spiritual support services can be valuable, immediately referring the client to someone else may delay emotional comfort. The PN should first offer direct support before suggesting additional resources.
C. Ask the client if praying together would help: Offering prayer without knowing the client’s spiritual preferences might be inappropriate or uncomfortable for some individuals. It's better initially to offer silent presence and allow the client to express their needs if they wish.
D. Remain quietly in the client's room for a while: Staying quietly with the client conveys empathy, presence, and support. Nonverbal comfort allows the client space to process emotions and invites communication if they are ready, building trust and emotional security during a difficult moment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Extend thumb at a right angle during gloving: Positioning the thumb may help with glove placement but does not directly maintain surgical asepsis. The focus of aseptic technique is keeping gloves sterile, not thumb positioning during the process.
B. Keep gloved hands in sight above waist level: Keeping hands in sight and above waist level is essential for maintaining surgical asepsis. Anything below waist level is considered contaminated, and visibility ensures that sterility is not compromised during procedures.
C. Touch cuff fold only while applying second glove: Touching the cuff is appropriate when donning the second glove, but maintaining hand position above waist level is a broader and ongoing requirement to uphold sterile technique throughout the procedure.
D. Apply a mask once both hands are gloved: Masks should already be in place before starting the sterile gloving procedure. Waiting to apply a mask after donning sterile gloves risks contaminating the gloves and breaking sterile technique.
Correct Answer is ["840"]
Explanation
Convert each fluid intake into mL:
At 0730, the client consumed 120 mL of orange juice.
At 1130, the client consumed 1 cup of broth (1 cup = 240 mL) and 120 mL of apple juice.
At 1400, the client consumed a 12-ounce can of soft drink. Since 1 ounce = 30 mL, 12 ounces equals 360 mL.
Total fluid intake:
120 mL (orange juice)
240 mL (broth)
120 mL (apple juice)
360 mL (soft drink)
Add the total fluid intake:
120 mL + 240 mL + 120 mL + 360 mL = 840 mL
Answer: 840 mL
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