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. You can allow your family to visit as often as you wish.
- B. Tell me your expectations about activities related to the end-of-life.
- C. We can talk to the provider about incorporating nonpharmacological pain management in your care.
- D. You can provide the name of a spiritual support person we can contact for you.
Correct Answer: B
Rationale: Understanding the client's expectations guides personalized end-of-life care.
You may also like to solve these questions
A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?
- A. Provide oral care to the client once every 8 hr.
- B. Reposition the client once every 4 hr.
- C. Place the head of the client's bed flat.
- D. Use a fan to circulate air in the client's room.
Correct Answer: B
Rationale: Repositioning helps relieve dyspnea by improving lung expansion and comfort.
A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?
- A. His partner has been visiting.
- B. He is voiding adequately.
- C. He is allergic to sulfa.
- D. He appears anxious about the transfer.
Correct Answer: C
Rationale: Allergies (sulfa) are critical clinical data for safe care on the new unit.
A nurse is assisting with feeding a client who has had a stroke. Which of the following findings should the nurse identify as a manifestation of dysphagia?
- A. Rapid chewing
- B. Increased hunger
- C. Garbled voice
- D. Sneezing
Correct Answer: C
Rationale: A garbled voice indicates swallowing difficulty, a sign of dysphagia.
A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should move my stronger leg forward before moving my weaker leg.
- B. I will hold the cane on my stronger side.
- C. I will move the cane forward 18 inches.
- D. I should wear shoes with smooth soles to help slide my weak leg forward.
Correct Answer: B
Rationale: Holding the cane on the stronger side provides optimal support.
A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?
- A. Avoid the use of facial gestures during the instructions.
- B. Determine the client's ability to use a communication board.
- C. Speak with a loud voice while providing the information.
- D. Provide the teaching without expecting the client to respond.
Correct Answer: B
Rationale: A communication board can aid clients with expressive aphasia in understanding and responding.