A client in the final stages of terminal cancer tells the nurse: "I wish I could be just be allowed to die. I'm tired of fighting this illness. I have lived life a good life. I only continue my chemotherapy and radiation treatment because my family wants me to." What is the best nurse's best response?

Correct Answer: A

Rationale: The best response for the nurse to provide in this situation is to offer the client the option to talk to a psychologist about their thoughts and feelings. This demonstrates the nurse's understanding and compassion towards the client's emotional struggles and the complexity of their situation. By suggesting a professional to talk to, the nurse can provide the client with the appropriate support and guidance to help them navigate their feelings of wanting to be allowed to die. It also allows the client to voice their concerns and emotions with a trained professional who can offer them coping strategies and support tailored to their individual needs.

Correct Answer: A

Rationale: Regression in toilet training is a common behavior seen in young children, especially during times of stress or change, such as hospitalization. The child may revert to familiar behaviors, such as wearing diapers, as a way of seeking comfort and security during a stressful experience like being in the hospital. It is important for the nurse to reassure the parents that this regression is temporary and normal under the circumstances. By providing support and understanding, the child will likely return to their previous toilet training habits once they are back in their usual environment.

Correct Answer: A

Rationale: Congenital clubfoot is best treated when started immediately after diagnosis. Early intervention and treatment are crucial for better outcomes in correcting clubfoot deformities. Tendons and ligaments are more flexible in infants, making it easier to manipulate and correct the foot. Starting treatment as early as possible can help prevent long-term complications and improve the child's ability to walk normally. Therapy may involve stretching exercises, casting, or surgery, depending on the severity of the condition. Therefore, early intervention is key in the successful management of congenital clubfoot in infants.

Correct Answer: A

Rationale: Successful treatment of diabetes insipidus is indicated when the patient's excessive urination (polyuria) and thirst (polydipsia) are controlled. One of the primary goals of treatment is to achieve fluid balance by reducing urine output and, consequently, decreasing the excessive thirst. When the fluid intake is less than 2,500mL, it suggests that the patient's excessive thirst has decreased, indicating successful management of the condition. Monitoring and managing fluid intake are crucial in the treatment of diabetes insipidus to prevent dehydration and electrolyte imbalances. A lower fluid intake is a positive indicator that the treatment is effectively addressing the increased urine output characteristic of diabetes insipidus.

Correct Answer: D

Rationale: Early symptoms of cancer of the larynx typically include persistent hoarseness or a change in the voice quality. This may be due to the tumor affecting the vocal cords. Dysphagia, or difficulty swallowing, can also be an early sign. As the tumor grows, it may cause obstruction or compression in the throat, leading to difficulties in swallowing. These symptoms should prompt further evaluation by a healthcare provider for proper diagnosis and treatment planning. Anemia and fatigue (Choice A) are more general symptoms that can occur in cancer patients but are not typically specific to laryngeal cancer. The presence of a noticeable lump in the neck (Choice B) may indicate swelling of lymph nodes due to cancer spread but is not an early symptom commonly associated with laryngeal cancer. Crackles and stridor (Choice C) are respiratory sounds associated with conditions affecting the airways and are less likely to be early symptoms