A client is hospitalized with oat cell carcinoma of the lung. To manage severe pain, the physician prescribes a continuous I.V. infusion of morphine. Which formula should the nurse use to check that the morphine dose is appropriate for the client?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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: A biopsy is a diagnostic procedure that involves the removal of a small sample of tissue or cells from the body for examination under a microscope. This is done to determine the presence of abnormal or malignant cells, which can indicate the presence of cancer or other diseases. Biopsies are often performed when there is a suspicion of cancer based on imaging studies or other clinical findings. Detecting malignant cells through a biopsy is crucial for accurate diagnosis and appropriate treatment planning. Early detection of cancer through biopsy can significantly improve the prognosis and survival rates of patients.

Correct Answer: B

Rationale: When ambulating a patient for the first time postoperatively, it is crucial to ensure patient safety by using two people to assist the patient. This helps in providing adequate support and stability, especially if the patient is weak, dizzy, or at risk of falling. Having two people allows for better control over the patient's movement and reduces the risk of accidents or falls during ambulation. Additionally, having an extra person provides assistance in case the patient becomes unsteady or requires immediate support.

Correct Answer: D

Rationale: The nurse's best response is D, "Your heart is not an efficient pump." Heart failure is a condition where the heart is unable to pump blood efficiently, leading to a decrease in the heart's ability to supply the body with oxygen and nutrients. This can result in symptoms such as shortness of breath, fatigue, and fluid retention. It is important for the patient to understand that heart failure does not mean the heart stops or has an area of dead muscle, but rather it is a condition where the heart is not able to function properly as a pump.