A hospice nurse is caring for a client who has a t

Extract:

Client with terminal illness and severe pain

Question 1 of 5

A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

A. Administer the benzodiazepine but withhold the opioid. B. Continue the medication dosages that relieve the client's pain. C. Contact the provider about replacing the opioid with an NSAID. D. Withhold the benzodiazepine but continue the opioid.

Correct Answer: B

Rationale: Somnolence is an expected side effect in hospice care; continuing pain relief prioritizes comfort unless respiratory depression occurs.

Extract:

Question 2 of 5

A nurse in an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth?

A. Establishing communication between providers B. Assessing client needs C. Providing medication reconciliation D. Developing client treatment protocols

Correct Answer: B

Rationale: Assessing client needs remotely is a core telehealth objective, guiding care and interventions.

Extract:

Client with heart disease

Question 3 of 5

A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?

A. Accompanying a client who just had a wound debridement to physical therapy B. Reinforcing dietary teaching with a client who has heart disease C. Obtaining a urine specimen from an older adult client D. Providing postmortem care for a client who has just died

Correct Answer: B

Rationale: Reinforcing dietary teaching is within the LPN's scope, leveraging their training for client education.

Extract:

Question 4 of 5

A nurse is teaching newly licensed nurses about client confidentiality. The nurse should include that which of the following examples represents a violation of client confidentiality?

A. Calling the pharmacy with a prescription for the client's partner to pick up B. Providing a copy of the client's medical record to the transporting paramedic C. Reporting a client's disposition to the referring provider D. Informing housekeeping staff that the client is in the dialysis unit

Correct Answer: D

Rationale: Informing housekeeping about the client's location unnecessarily discloses health-related information, breaching confidentiality.

Extract:

Client with Alzheimer's and pneumonia; client with diabetes; client post-hip fracture; client post-abdominal surgery

Question 5 of 5

A nurse is caring for four clients. Which of the following clients should the nurse assess first?

A. A client who is 3 days postoperative following abdominal surgery is ready for discharge B. A client who has Alzheimer's disease and bacterial pneumonia with newly onset restlessness C. A client who is 24 hr postoperative following surgical reduction of a hip fracture and reports a pain level of 7 D. A client who is newly admitted with diabetes mellitus and whose fasting blood glucose level is 200 mg/dL

Correct Answer: B

Rationale: Newly onset restlessness in Alzheimer's and pneumonia may indicate delirium or worsening infection, requiring immediate assessment.

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