What may be happening is that the prescribed dose or frequency of administration is not controlling the pain, a phenomenon that occurs as clients develop drug tolerance. A client is dying of brain tumor but has maintained her level of consciousness and cognition, even as death is now imminent. The client who finds eating very exhausting may not agree to take water, fresh juices, or soups. D The client is actively involved in pain management. On the other hand, short-term goals can be achieved in a day or a week. A nurse is caring for a young client with acute renal failure who is dying. However, the nurse has taken a set of vital signs in response to signs of multiple organ failure.
Why are range of motion exercises performed? The signs of increased fluid volume are adventitious lung sounds, a bounding pulse, and high blood pressure; therefore, a diagnosis of hypotension or feeble pulse would be incorrect. Neck exercises may exacerbate pain or cause injury. All authentic chapters and questions and answers are included. Personalized Reports: PrepU gives students feedback about their performance-broken down by topic-so students know exactly where to focus their study efforts. Which of the following is a possible short-term goal for this client? B Learn to hop on the floor independently with the leg on the surgical side. If the dying or dead client meets the donation criteria, the possibility of harvesting organs after death is discussed with the next of kin.
A Hypotension B Hypothermia C Bradypnea D A weak, thready pulse E Increased oxygen saturation Ans: A, D Feedback: Multiple organ failure is often accompanied by hypotension and a weak, irregular pulse. After each quiz, PrepU adapts to continue helping students progress on their next quiz! A nurse visits the grieving family of a client who died following a motor vehicle accident. All Gerontologic Considerations sections have been thoroughly updated by renowned experts. D Organ donation need not be discussed with the next of kin. A client has been recently informed that death is imminent because her lung cancer has metastasized to her liver and bones.
A client reports to a health care facility with complaints of abdominal pain and vomiting. B Make arrangements for a metronome and a stopwatch. C The client will learn to cope more effectively and constructively with her pain. B Ask the client if she wants to meet and thank her loved ones. A nurse is caring for a 65-year-old client who has been paralyzed from the waist down.
A Referred pain B Phantom pain C Visceral pain D Cutaneous pain Ans: B Feedback: The nurse should document the pain as phantom pain, a type of neuropathic pain that is often experienced days, weeks, or even months after the source of the pain has been treated and resolved. A client has been admitted to the acute medical unit of the hospital after an exacerbation of chronic obstructive pulmonary disease. The client may be at risk for confusion, have difficulty in dressing and grooming, and may not eat properly; however, the priority is the thought process because it is the main reason for all other symptoms. The dentures should be replaced in the mouth as they maintain the natural contour of the face. The client refuses to believe the diagnosis and has asked for a second opinion on two separate occasions. The client is not going through the transmission, perception, or modulation phase of pain.
A Learn to comb her hair independently with the arm on the surgical side. Can I write a review and leave a testimonial on this site? A Range of motion exercises C Active exercises B Continuous passive motion machine D Aerobic exercises 16. A client with a terminal illness has been placed in hospice care. D Make arrangements for cardiopulmonary resuscitation personnel. Nurses select appropriate nursing interventions and document the plan of care in the planning stage of the nursing process, not during evaluation.
B The client gets into arguments with the health care personnel. I have this workbook and the test book from this publisher. A rhizotomy involves the surgical sectioning of a nerve root close to the spinal cord. B Collect information on expected outcomes. Organs cannot be harvested on verbal agreement, to protect the health care facility from any legal consequences; permission is always obtained in writing. Collecting information is done during the assessment.
A The nurse ensures that interventions are within the legal scope of nursing. Clients with terminal illness do not recover from the illness; they may be treated symptomatically and provided care and comfort. A Denial B Anger C Bargaining D Depression Ans: B Feedback: Lashing out or complaining about care may be a result of a client experiencing the anger stage of dying. B The client determines the maximum daily dose. Ans: D Feedback: Pain thresholds tend to be the same among healthy people, but each person tolerates or bears the sensation of pain differently. A nurse is caring for a client with cancer who is experiencing pain. B Ask the client if he would like to receive a visit from the hospital chaplain.
Which of the following nursing diagnoses is the highest priority for this client? Modulation is the last phase of pain impulse transmission, during which the brain interacts with the spinal nerves to alter the pain experience. The client has a number of comorbid health problems and is being simultaneously treated for many of these. Together, the nurse and the client would identify what goal of this program? Which of the following are aspects of addiction? It is sometimes referred or poorly localized as it is not experienced in the exact site where an organ is located. Chapter 38- End-of-Life Care 1. Really, on top do all the typos , Bad bad bad. D Pain thresholds tend to be the same among healthy people. D They block glutamate receptors and peptides.
It is a way of thinking and not solely a group of tasks and it does not always lead to the curing of disease. A Death is expected within 72 hours. Can I request a sample before I purchase to make sure its authentic? C The nurse chooses interventions that can be performed without the involvement of other disciplines. A nurse is providing end-of-life care to a client at a health care facility. B Organs can be harvested on verbal agreement. Ans: D Feedback: The client is in the acceptance stage of dying, because the client has settled all financial matters for his surviving family members. A Hypotension B Feeble pulse C Crackles D Drowsiness Ans: C Feedback: Crackles are the most important sign found in excess fluid volume.