Question

Week # 11 Offline Activity 12-16-20

Questions:

1. The home health (HH) hospice nurse is making rounds. Which client should the

    nurse assess first?

1. The client with end-stage heart failure who has increasing difficulty breathing.

2. The client whose family has planned to surprise her with an early birthday party.

3. The client who is complaining of being tired and irritable all the time.

4. The client with chronic lung disease who has not eaten for 3 days

2. The nurse is called to the room of a male client diagnosed with lung cancer by the

    client’s wife because the client is not breathing. The client has discussed being a DNR

    but has not made a decision. Which interventions should the nurse implement first?

1. Ask the spouse whether she wants the client to be resuscitated.

2. Tell the spouse to leave the room and then perform a slow code.

3. Assess the client’s breathing and call a code from the room.

4. Notify the oncologist the client has arrested.

3. The nurse is preparing to perform a dressing change on a female client who has end stage

    renal disease and notes the client’s husband silently holding the client’s hand and

    praying. Which action should the nurse implement first?

1. Continue to prepare for the dressing change in the room.

2. Call the chaplain to help the client and spouse pray.

3. Quietly leave the room and come back for the dressing change.

4. Ask the husband whether he would like the nurse to join in the prayer.

4. The nurse caring for clients on an oncology unit is administering medications. Which

    medication should the nurse administer first?

1. The anti-nausea medication to the male client who thinks he may get sick.

2. The pain medication to the female client who has pain she rates a “2.”

3. The loop diuretic to the female client who had an output greater than the intake.

4. The nitroglycerin paste to the male client who is diagnosed with angina pectoris.

5. The staff nurse is caring for a client who was diagnosed with pancreatic cancer during

      an exploratory laparotomy. Which client problem is priority for postoperative day 1?

1. Ineffective coping.

2. Fluid and electrolyte imbalance.

3. Risk for infection.

4. Potential for suicidal thoughts.

6. The client on the medical unit died unexpectedly, and the nurse must notify the significant

    other. Which statement made by the nurse is the best over the telephone?

1. “I am sorry to tell you, but your loved one has died.”

2. “Could you come to the hospital? The client is not doing well.”

3. “The HCP has asked me to tell you of your family member’s death.”

4. “Do you know whether the client wished to be an organ donor?”

7. The female family member of the client experiencing a cardiac arrest refuses to leave

    the client’s room. Which intervention should the administrative supervisor implement?

1. Stay with the family member and explain what the team is doing.

2. Call hospital security to escort the family member out of the room.

3. Ask the HCP whether the family member can stay.

4. Ignore the family member unless she becomes hysterical.

8. The matriarch of a family has died on a busy medical unit. The family tells the nurse

    that the daughter is coming to the hospital from a nearby city to see the body. Which

    intervention should the nurse implement?

1. Plan to allow the daughter to see the client in the room.

2. Take the client to the morgue for the daughter to view.

3. Request the family to call the daughter and tell her not to come.

4. Explain that the unit is too busy for family visitation.

9. The client on a medical unit died of a communicable disease. Which information

    should the nurse provide to the mortuary workers?

1. No information can be released to the mortuary service.

2. The nurse should tell the funeral home the client’s diagnosis.

3. Ask the family for permission to talk with the mortician.

4. Refer the funeral home to the HCP for information.

10. The terminally ill client has a DNR order in place and is currently complaining of

     “pain all over.” The nurse performs an assessment and notes the client has shallow

       breathing. The vital signs are P 67, R 8, BP 104/62. Which intervention should the

       nurse implement?

1. Administer the narcotic pain medication IVP.

2. Turn and reposition the client for comfort.

3. Refuse to administer pain medication.

4. Notify the HCP of the client’s vital signs.

Answer 1

Q1. Answer:- The client with end-stage heart failure who has increasing difficulty breathing.

q2. Assess the client’s breathing and call a code from the room.

q3. Quietly leave the room and come back for the dressing change

q4. The nitroglycerin paste to the male client who is diagnosed with angina pectoris.

q5. Fluid and electrolyte imbalance

q6. Could you come to the hospital? The client is not doing well.”

q7. Call hospital security to escort the family member out of the room.

q8. Take the client to the morgue for the daughter to view.

q9. Refer the funeral home to the HCP for information.

q10. Administer the narcotic pain medication IVP.