Which of the following should you communicate to the licensed nurse on duty in addition to the next shift nursing assistant?

Correct Answer: D

Rationale: All listed changes low fluid intake , new transfer difficulty , and behavioral shift must be communicated to the licensed nurse and next shift, per the answer key. Each signals potential health issues: dehydration, mobility decline, or distress. Nurses, per AHRQ, escalate such observations to ensure timely intervention, as these deviations from baseline affect resident safety and care planning in long-term settings.

Correct Answer: B

Rationale: Acute pain is marked by a sudden onset tied to an identifiable cause, like a cut, fracture, or surgery, acting as the body's alarm system to signal harm. It's typically sharp and resolves as the injury heals, distinguishing it from chronic pain. Choice A, gradual onset over months, describes chronic pain's slow development, not acute pain's immediacy. Choice C, persistent dull ache, aligns more with chronic pain, which lingers and varies in intensity, unlike acute pain's acute, often intense nature. Choice D, no response to treatment, doesn't fitacute pain usually responds to interventions like analgesics or rest, while chronic pain may resist resolution. Choice B is correct, capturing acute pain's suddenness and clear origin, a key distinction nurses use to assess and manage it effectively, tailoring interventions to its short-term, cause-specific profile.

Correct Answer: B

Rationale: Providing a quiet environment best promotes comfort for a client at end-of-life in palliative care, reducing sensory overload and fostering peace amid physical and emotional decline. Noise can heighten agitation or anxiety, common in dying patients, while quiet supports rest and dignity. Choice A, encouraging aggressive treatment, contradicts palliative goalscurative efforts may prolong suffering, not ease it. Choice C, scheduling frequent assessments, disrupts rest, increasing distress rather than comfort, though monitoring is needed, it should be unobtrusive. Choice D, limiting family presence, is counterproductivefamily often provides emotional solace, enhancing comfort unless the client specifies otherwise. Choice B is correct, aligning with palliative care's focus on holistic comfort, addressing environmental factors nurses control to minimize stress, complementing pain management and emotional support for a serene end-of-life experience.

Correct Answer: C

Rationale: The basis of the nurse's response is to promote comfort, as morphine in palliative care manages severe pain or dyspnea, enhancing quality of life when curing isn't the goal. It targets opioid receptors to dull pain perception, easing suffering in terminal illness. Choice A, curing the illness, is incorrectpalliative care focuses on symptom relief, not cure, accepting disease progression. Choice B, improving alertness, contradicts morphine's sedative effect; it may calm agitation but typically drowses, not sharpens focus. Choice D, increasing appetite, isn't morphine's purposepain relief might indirectly help eating, but it's not primary. Choice C is correct, reflecting palliative care's ethosnurses explain morphine's role in comfort, reassuring families it's about dignity and peace, not hastening death, aligning with holistic end-of-life support.

Correct Answer: B

Rationale: The nurse recognizes that nonpharmacological pain relief measures have no side effects as their major advantage, unlike drugs risking nausea, addiction, or sedation. Methods like heat or relaxation rely on natural responses (e.g., circulation, calming), avoiding chemical risks. Choice A, replacing medications, isn't truethey complement, not supplant, drugs, especially for severe pain. Choice C, being more effective, variesnonpharmacological methods aid mild pain or adjunctively but rarely outdo opioids for intensity. Choice D, working immediately, isn't universal; effects (e.g., meditation) build slower than analgesics. Choice B is correct, highlighting safetynurses leverage this for clients wary of drugs or with comorbidities, integrating techniques like imagery or massage to enhance comfort without adding physiological burden, a key asset in holistic care.