Nokea
A nurse is caring for a client who has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?
- A. Tell me your expectations about activities related to the end-of-life.
- B. We can talk to the provider about incorporating nonpharmacological pain management in your care.
- C. You can allow your family to visit as often as you wish.
- D. You can provide the name of a spiritual support person we can contact for you.
Correct Answer: A
Rationale: Exploring expectations first ensures care aligns with the client’s needs and preferences.
You may also like to solve these questions
A nurse is reinforcing teaching with a client who has an ostomy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will apply a thin layer of talc powder around the stoma before placing the appliance.
- B. I will cut an opening in the skin barrier that is 1â„2 inch larger than the stoma.
- C. I will press on the skin barrier for 30 seconds to ensure that it adheres.
- D. I will clean around the stoma with a moisturizing soap.
Correct Answer: C
Rationale: Pressing the barrier ensures adhesion, preventing leaks and maintaining skin integrity.
A nurse is assigning a semiprivate room to a client who has herpes zoster. Which of the following roommates is appropriate?
- A. A client who has rubella
- B. A client who has tuberculosis
- C. A client who is HIV-positive
- D. A client who has had varicella
Correct Answer: D
Rationale: Prior varicella exposure prevents shingles transmission, making this roommate safe.
A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?
- A. Room number
- B. Medical diagnosis
- C. Age
- D. Photograph
Correct Answer: D
Rationale: A photograph provides a unique, visual confirmation of identity for safe medication administration.
A nurse is preparing to perform a fecal occult blood test of stool specimens for a client. Which of the following actions should the nurse plan to take?
- A. Ensure that the stool specimen does not contain urine.
- B. Wear sterile gloves when handling the stool specimen.
- C. Repeat the test three times using the same stool specimen.
- D. Have the client defecate into a bedpan that contains a small amount of water.
Correct Answer: A
Rationale: Urine contamination can cause false positives, compromising test accuracy.
A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps?
- A. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.
- B. Unlock and remove the inner cannula.
- C. Scrub the inside and outside of the inner cannula with a small brush.
- D. Wipe the inside of the inner cannula with a folded pipe cleaner.
- E. Cleanse the stoma site with 0.9% sodium chloride solution.
Correct Answer: A,B,C,D,E
Rationale: A,B,C,D,E sequence prepares solution, removes cannula, cleans it, and then cleans stoma, maintaining sterility.