Which actions by the nurse would contribute to protecting the rights of a client who is terminally ill
with lymphoma? (More than one answer may be correct.)
A. Providing interventions that convey respect
B. Giving choices and fostering personal control
C. Supporting the client's quest for spiritual growth
D. Maintaining the pose that his prognosis is positive
A, B, C
Rationale: Options A, B, and C support the rights of the dying individual. Option D: Acting on false
information robs a client of the opportunity for honest dialogue and places barriers to achieving
end-of-life developmental opportunities.
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A Caucasian patient and an African-American patient are exhibiting signs of jaundice. Which of the following signs did the African-American patient exhibit? Select all that apply
A) Yellow tone to skin B) Yellow-greenish color of soles of feet C) Yellow color of hands D) Yellow-greenish color of palms of hands E) Yellow-greenish color of skin F) Yellow-greenish color of hair
The most appropriate response by the nurse when a despondent client says "nothing matters
anymore" would be a. "Are you having thoughts of suicide?" b. "I am not sure I understand what you are trying to say.". c. "Try to stay hopeful. Things have a way of working out.". d. "Tell me more about the things that interested you before you began to feel depressed.".
Which nursing diagnosis is written in the correct format?
a. Imbalanced Nutrition: Less than Body Requirements related to body weight less than 20% under ideal weight b. Ineffective Airway Clearance related to increased respiratory rate and irregular rhythm c. Impaired Swallowing related to absent gag reflex d. Excess Fluid Volume related to 3 lb weight gain in 24 hours
A patient with heart failure is prescribed oral captopril (Capoten) and carvedilol (Coreg). The heart rate after giving these drugs is decreased from 84 per minute to 68 per minute. What is the nurse's best action?
a. Hold the next dose b. Immediately notify the prescriber c. Document the finding as the only action d. Schedule the captopril and carvedilol to be given at different times