Nokea
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. Reposition the client once every 4 hr.
- B. Provide oral care to the client once every 8 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: D
Rationale: A fan improves air movement, easing dyspnea in end-of-life care.
You may also like to solve these questions
A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will apply antiseptic ointment to the tip of my penis.
- B. I will clamp the tube when I go for a walk.
- C. I will keep the drainage bag below the level of my waist.
- D. I will empty my drainage bag once a day.
Correct Answer: C
Rationale: Keeping the bag below waist level prevents urine backflow, reducing infection risk.
A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?
- A. Washing the client's face
- B. Gathering the client's personal belongings
- C. Removing the client's dentures from their mouth
- D. Closing the client's eyes
Correct Answer: C
Rationale: Removing dentures alters appearance unnaturally; they should remain unless otherwise specified.
A home health nurse is reinforcing teaching about dietary needs with the child of a client. They state, 'I don't know what to do because they're not eating.' Which of the following responses should the nurse make?
- A. Why do you think they're not eating?
- B. Tell me more about what happens at mealtime.
- C. They may need a feeding tube.
- D. I'm sure it's nothing serious and their appetite will return soon.
Correct Answer: B
Rationale: Exploring mealtime details gathers specific data to address the eating issue effectively.
A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, 'I'm not going to take this medication because it makes me sick and dizzy.' Which of the following actions should the nurse take first?
- A. Return the medication to the medication cabinet.
- B. Notify the provider of the client's refusal.
- C. Inform the client of the potential consequences of their refusal.
- D. Document the refusal in the client's medical record.
Correct Answer: C
Rationale: Educating about consequences first respects autonomy and may encourage compliance.
A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?
- A. I'll use focused breathing to control my pain.
- B. I'll listen to my favorite music to take my mind off the pain.
- C. I'll learn to notice the sensation of muscle tension.
- D. I'll think about my grandfather's farm to reduce pain.
Correct Answer: D
Rationale: Guided imagery involves visualizing a calming scene (e.g., a farm) to distract from pain.