The practical nurse (PN) is caring for an older client who was informed about a diagnosis of terminal cancer two days ago. Which intervention would be most helpful for the client's spouse at this time?
Participating in the client's care within his/her capabilities and desires.
Information about palliative and hospice care services.
Consultation with the case manager and hospital chaplain.
Visiting after procedures are done to avoid seeing the client in pain.
The Correct Answer is A
A. Participating in the client's care within his/her capabilities and desires: Involving the spouse supports coping, emotional connection, and shared decision-making.
B. Information about palliative and hospice care services: Important but may be more helpful once the family has processed the diagnosis further.
C. Consultation with the case manager and hospital chaplain: Useful but not the most immediate supportive intervention.
D. Visiting after procedures are done to avoid seeing the client in pain: Avoidance can increase anxiety and feelings of helplessness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Observe droplet precautions:
TB requires airborne precautions, not droplet.
B. Initiate airborne precautions:
TB is spread via airborne droplet nuclei; requires negative pressure room and N95 respirator.
C. Maintain standard precautions:
Insufficient for TB because it does not address airborne transmission.
D. Use protective isolation:
Used for immunocompromised clients, not infectious TB cases.
Correct Answer is A,B,C,D
Explanation
A. Don a pair of procedure gloves: 1st - protects nurse from contamination when removing dressing.
B. Remove old dressing: 2nd - done with gloves on.
C. Remove soiled gloves, perform handwashing, and don new procedure gloves: 3rd - prevents cross-contamination before touching wound.
D. Apply prescribed medications to the wound: 4th - done with clean gloves after wound is exposed.
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