BEHS 380 End of Life & Stress, Chronic Pain Quiz 1, Answered-The nurse is caring for a dying client and the family. The male client is Muslim. Which
... [Show More] intervention should the female nurse implement at the time of death?
1. Allow the wife to stay in the room during postmortem care.
2. Call the client's Imam to perform last rites when the client dies.
3. Place incense around the bed, but do not allow anyone to light it.
4. Do not touch the body, and have the male family members perform care. - 4. Do not touch the body, and have the male family members perform care.
The nurse writes a client problem of "spiritual distress" for the client who is dying.
Which statement is an appropriate goal?
1. The client will reconcile self and the higher power of his or her beliefs.
2. The client will be able to express anger at the terminal diagnosis.
3. The client will reconcile self to estranged members of the family.
4. The client will have a dignified and pain-free death. - 1. The client will reconcile self and the higher power of his or her beliefs.
The hospice care nurse is planning the care of an elderly client diagnosed with end-stage renal disease. Which interventions should be included in the plan of care? Select all that apply.
1. Discuss financial concerns.
2. Assess any comorbid conditions.
3. Monitor increased visual or auditory abilities.
4. Note any spiritual distress.
5. Encourage euphoria at the time of death. - 1. Discuss financial concerns.
2. Assess any comorbid conditions.
4. Note any spiritual distress.
The client is on the ventilator and has been declared brain dead. The spouse refuses to allow the ventilator to be discontinued. Which collaborative action by the nurse is most appropriate?
1. Discuss referral of the case to the ethics committee.
2. Pull the plug when the spouse is not in the room.
3. Ask the HCP to discuss the futile situation with the spouse.
4. Inform the spouse what is happening is cruel. - 1. Discuss referral of the case to the ethics committee.
The nurse is assessing a client diagnosed with chronic pain. Which characteristics would the nurse observe?
1. The client's blood pressure is elevated.
2. The client has rapid shallow respirations.
3. The client has facial grimacing.
4. The client is lying quietly in bed. - 4. The client is lying quietly in bed.
The client had a mastectomy and lymph node dissection three (3) years ago and has experienced postmastectomy pain (PMP) since. Which intervention should the nurse implement?
1. Have the client see a psychologist because the pain is not real.
2. Tell the client the pain is the cancer coming back.
3. Refer the client to a physical therapist to prevent a frozen shoulder.
4. Discuss changing the client to a more potent narcotic medication. - 3. Refer the client to a physical therapist to prevent a frozen shoulder.
PMP is characterized as a constriction accompanied by a burning sensation or prickling in the chest wall, axilla, or posterior arm resulting from movement of the arm. Because of this, the client limits movement of the arm and the shoulder becomes frozen.
The client diagnosed with cancer is experiencing severe pain. Which regimen would the nurse teach the client about to control the pain?
1. Nonsteroidal anti-inflammatory drugs (NSAIDs) around the clock with narcotics used for severe pain.
2. Morphine sustained release, a narcotic, routinely with a liquid morphine preparation for breakthrough pain.
3. Extra-Strength Tylenol, a nonnarcotic analgesic, plus therapy to learn alternative methods of pain control.
4. Demerol, an opioid narcotic, every six (6) hours orally with a suppository when the pain is not controlled. - 2. Morphine sustained release, a narcotic, routinely with a liquid morphine preparation for breakthrough pain.
The male client who has made himself a do not resuscitate (DNR) order is in pain. The client's vital signs are P 88, R 8, and BP 108/70. Which intervention should be the nurse's priority action?
1. Refuse to give the medication because it could kill the client.
2. Administer the medication as ordered and assess for relief from pain.
3. Wait until the client' respirations improve and then administer the medication.
4. Notify the HCP the client is unstable and pain medication is being held. - 2. Administer the medication as ordered and assess for relief from pain.
The client is in pain. The American Nurses Association Code of Ethics states clients have the right to die as comfortably as possible even if the measures used to control the pain indirectly hasten the impending death. The Dying Client's Bill of Rights reiterates this position. The client should be allowed to die with dignity and with as much comfort as the nurse can provide.
The charge nurse is making assignments on an oncology floor. Which client should be assigned to the most experienced nurse?
1. The client diagnosed with leukemia who has a hemoglobin of 6.0 g/dL.
2. The client diagnosed with lung cancer with a pulse oximeter reading of 89%.
3. The client diagnosed with colon cancer who needs the colostomy irrigated.
4. The client diagnosed with Kaposi's sarcoma who is yelling at the staff. - 2. The client diagnosed with lung cancer with a pulse oximeter reading of 89%.
The nurse is caring for clients on a medical floor. Which client should the nurse assess first after the shift report?
1. The client with arterial blood gases of pH 7.36, PaCO2 40, HCO3 26, PaO2 90.
2. The client with vital signs of T 99˚F, P 101, R 28, and BP 120/80.
3. The client complaining of pain at a "10" on a 1-to-10 scale who can't localize it.
4. The client who is post appendectomy with pain at a "3" on a 1-to-10 scale. - The client complaining of pain at a "10" on a 1-to-10 scale who can't localize it. [Show Less]