Which setting allows the dying client to have advanced care in an institution due to the necessity to control pain unable to be managed at home?

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Question 1 of 9

Which setting allows the dying client to have advanced care in an institution due to the necessity to control pain unable to be managed at home?

Correct Answer: C

Rationale: Palliative care specializes in managing complex symptoms and pain, providing advanced institutional support.

Question 2 of 9

A healthcare professional wishes to provide client-centered care in all interactions. Which action by the healthcare professional best demonstrates this concept?

Correct Answer: A

Rationale: The correct answer is A because assessing for cultural influences affecting healthcare aligns with client-centered care by recognizing the individual's unique beliefs and values. This action promotes respect, understanding, and tailored care. Choice B might address physical needs but not necessarily emotional or cultural aspects. Choice C focuses on information sharing rather than understanding the client's perspective. Choice D, while important, does not directly address individualized care based on cultural factors.

Question 3 of 9

Which patient is at greatest risk for pancreatic cancer?

Correct Answer: A

Rationale: Smoking and alcohol use are major risk factors for pancreatic cancer, making the elderly black male with these habits at highest risk.

Question 4 of 9

When caring for a client with Alzheimer's disease, what is the most appropriate communication technique for a nurse to use?

Correct Answer: C

Rationale: The most appropriate communication technique for a client with Alzheimer's disease is using simple and direct statements (Choice C). This approach is effective because it helps reduce confusion and enhances understanding for individuals with cognitive impairment. Complex explanations (Choice A) may overwhelm the client. Speaking loudly (Choice B) can be perceived as aggressive or intimidating. Offering multiple choices (Choice D) may lead to decision-making difficulties. Therefore, Choice C is the best option for clear and effective communication with Alzheimer's clients.

Question 5 of 9

Which manipulative and body-based technique uses pressure applied to the feet and hands?

Correct Answer: B

Rationale: Reflexology applies pressure to specific points on the feet and hands, stimulating corresponding body areas.

Question 6 of 9

What are the priority nursing interventions for a client in shock?

Correct Answer: C

Rationale: Acidosis occurs when blood pH drops below 7.35 due to an accumulation of hydrogen ions, commonly resulting from respiratory or metabolic imbalances.

Question 7 of 9

You anticipate that the physician will order which drug for status epilepticus?

Correct Answer: B

Rationale: Lorazepam is commonly used for rapid control of seizures in status epilepticus.

Question 8 of 9

A client had a hemicolectomy performed two days ago. Today, the nurse assessed the incision and discovered a small part of the abdominal viscera protruding through the incision. This complication of wound healing is known as:

Correct Answer: D

Rationale: Excoriation is an abrasion of the epidermis, or of any organ coating of the body, caused by trauma, chemicals, burns, or other causes. Dehiscence is a partial to complete separation of the wound edges with no abdominal tissue protrusion. Decortication is removal of the surface layer of an organ or structure, such as removing the fibrinous peel from the visceral pleura in thoracic surgery. Evisceration occurs when the incision separates and the contents of the cavity spill out.

Question 9 of 9

Brendan has chronic obstructive pulmonary disease, causing a constant state of respiratory acidosis. He has a history of chronic trimethoprim and NSAID use, leading to hyperkalemia. Which of the following are associated with hyperkalemia?

Correct Answer: C

Rationale: The correct answer is Cardiac arrhythmia, nausea, vomiting, constipation, dehydration, kidney stones, muscle weakness, and sinus arrest (C). Hyperkalemia affects cardiac function, leading to arrhythmias and potentially life-threatening conditions like sinus arrest. Gastrointestinal symptoms such as nausea, vomiting, and constipation are also common.

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