A client near the end of life is experiencing dyspnea, which causes anxiety. To plan holistic care for this client, the best decision by the nurse would be to
a. get an order for liberal doses of anxiolytics.
b. have the family stay with the client.
c. prepare the client for a morphine infusion.
d. use an interdisciplinary approach.
D
Interdisciplinary support is vital in treating dyspnea because of the myriad of both physical and psychosocial contributors to the problem. The other three options may be valid, depending on the cause of the dyspnea and the team's assessment of what would be most beneficial.
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Mrs. Bert is an 84-year-old woman with end-stage liver cancer and bone metastasis. Her family believes she is in considerable pain, but you observe her to be sleeping intermittently. As her nurse, you should
a. Wait for Mrs. Bert to request pain medication; after all, she could not be in too much pain if she sleeps b. Medicate her only at night so she can get some quality sleep c. Medicate every 4 to 6 hours as ordered to provide continuous pain management d. Transfer her to the hospital
A client with mitral stenosis develops a productive cough with pink, frothy sputum. The best interpretation made by the nurse would be to further evaluate for which complication?
A) Pulmonary edema B) Congestive failure C) Thrombophlebitis D) Cardiogenic shock
What condition is often associated with severe diarrhea?
a. Metabolic acidosis b. Metabolic alkalosis c. Respiratory acidosis d. Respiratory alkalosis
A child tells the school nurse that he can't see things at a distance very clearly but he can read up close fine. The nurse knows that the refractive disorder causing the ability to see distant objects less clearly than those close up is termed:
a. hyphema. b. astigmatism. c. amblyopia. d. myopia.