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Questions 149

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Question 1 of 5

The nurse is caring for a client who has stage 3 lung cancer and is in renal failure. The client indicates that he does not wish to have life-sustaining treatment and wants to die a natural death. What document does the nurse anticipate this client completing? Fill in the blank.

Correct Answer: B

Rationale: Living Will (
B) is the correct answer, as it documents a client’s preferences for medical treatment, such as refusing life-sustaining measures, aligning with the client’s wish to die naturally without such interventions.

Question 2 of 5

A client with schizophrenia spends much of his time pacing the floor, rocking back and forth, and moving from one foot to another. The client's behaviors are an example of:

Correct Answer: C

Rationale: Akathisia is characterized by restlessness and constant movement, often a side effect of antipsychotic medications, as described.

Question 3 of 5

A client has been taking perphenazine (Trilafon) by mouth for two days and now displays the following: head turned to the side, neck arched at an angle, stiffness and muscle spasms in neck. The nurse would expect to give which of the following as a PRN medication?

Correct Answer: B

Rationale: is an antiparkinsonian agent, used to counteract extrapyramidal side effects the client is experiencing

Question 4 of 5

A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

Correct Answer: D

Rationale: Contractions 5 minutes apart indicate the onset of active labor, prompting further evaluation.

Question 5 of 5

The newly licensed nurse has been asked to perform a procedure that he feels unqualified to perform. The nurse's best response at this time is to:

Correct Answer: B

Rationale: Refusing and explaining the lack of qualification ensures patient safety and adheres to ethical standards.

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