Correct Answer: D

Rationale:
Rationale: Correct Answer is D. Palliative care can be provided to a client receiving curative treatment. Palliative care focuses on improving quality of life by addressing physical, emotional, and spiritual needs. It can complement curative treatment to manage symptoms and enhance well-being. Incorrect

Choices: A is incorrect as palliative care can be delivered in various settings, not just healthcare facilities. B is incorrect as palliative care aims to improve quality of life, not cure acute illnesses. C is incorrect as palliative care is not limited to those who are terminally ill, but can be provided at any stage of a serious illness.

Correct Answer: A

Rationale: The correct answer is A: An older adult who is confused and has urinary frequency. This client is at the greatest risk for falls due to confusion affecting judgment and coordination, and urinary frequency increasing the need for frequent trips to the bathroom, heightening the risk of falls. The other choices are less likely to be the greatest fall risk. B: Hearing impairment alone does not significantly increase fall risk. C: A dressing on the foot does not directly increase fall risk unless it impairs mobility. D: Osteoarthritis and walker use indicate mobility issues but may not pose as high a fall risk as confusion and urinary frequency.

Correct Answer: A

Rationale: Rationale for Answer A: The nurse should make the statement that the client will have control over administering their own pain medication with a PCA device because it is essential for the client's understanding and empowerment in managing their pain effectively. This statement is correct as PCA devices allow patients to self-administer a preset dose of pain medication when needed, promoting better pain control. The nurse should emphasize the importance of using the device only as directed to prevent overdose or underdose.

Summary of Incorrect

Choices:
B: The pain medication is not delivered into the muscle but rather through an intravenous line or subcutaneous route.
C: Allowing someone else, even a partner, to push the PCA button can lead to incorrect dosing and is not recommended for safety reasons.
D: PCA devices are programmed to deliver a controlled, safe dose of medication with each administration to prevent overdose, not a large dose.

Correct Answer: B

Rationale: The correct answer is B: a 72-year-old with chronic alcoholism. Chronic alcoholism is a common cause of hypomagnesemia due to poor dietary intake, increased renal excretion, and gastrointestinal malabsorption of magnesium. Alcohol can also directly affect magnesium metabolism. Patients with chronic alcoholism are at higher risk for magnesium deficiency compared to the other options. Hypernatremia (choice
A) does not directly correlate with hypomagnesemia. Bone cancer (choice
C) and respiratory acidosis (choice
D) are not primary risk factors for hypomagnesemia.

Correct Answer: A

Rationale: The correct answer is A: Viral infection. Chronic stress weakens the immune system, making the individual more susceptible to infections like viruses. Stress hormones suppress immune function, increasing the risk of infections. Increased cognitive awareness (
B) is unlikely as chronic stress can impair cognitive function. Hypotension (
C) is not typically associated with chronic stress, as stress usually causes elevated blood pressure. Increased energy (
D) is also unlikely as chronic stress can lead to fatigue and decreased energy levels due to the constant activation of the stress response.