NUR 305 Test 3

A hospice patient tells you that they had to increase their dose of Dilaudid this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation of the situation?

• The client not been taking the medication properly

• The client is experiencing episodes of confusion

• The client has become addicted to the medication

• The client developed a tolerance to the medication

Which of the following statements by a hospice client should the nurse report to the provider?

• "I am getting a little sleepy after I take my pain medication."

• "I would go to church every day if it meant getting more time."

• "I plan to take an antiaging supplement to prolong my life."

• "I cannot wait to meet my creator when it is my time."

Which of the following prescriptions should the nurse expect on a hospice patient?

• Administer artificial tears PRN

• Administer oxygen 2L/NC

• Obtain vital signs every 2 hours

• Perform mouth care every hour

• Provide skin care with a moisture barrier cream

Which of the following findings should the nurse identify as a therapeutic response in a client who is unconscious, grimacing and restless?

• The client draws his legs up into a fetal position

• The facial muscles relax

• The pulse is within the expected range

• The respiratory rate increases

• The shoulders droop

Which of the following responses would the nurse make if asked why music therapy might help a hospice patient?

• "Music therapy can help facilitate movement in some clients who have mobility limitations."

• "Music therapy can help her verbally express emotions."

• "Music therapy will improve her appetite and decrease the nausea."

• "Music therapy will increase her basal metabolic rate."

• "Music therapy works as a distraction and can help alleviate her pain."

The spouse of a patient with terminal cancer visits daily and cheerfully talks with the patient about wedding anniversary plans for the next year. When the nurse asks about any concerns, the spouse states "I'm busy at work, but otherwise everything is fine." Which nursing diagnosis is most appropriate?

• Anxiety related to complicated grieving process

• Caregiver role strain related to feeling overwhelmed

• Hopelessness related to knowledge deficit about cancer

• Ineffective coping related to lack of grieving

A family member of an elderly patient tells the nurse, "My mother died 6 months ago, and I just can't seem to get over it. Now my father is sick and I'm not sure it is normal to still think about my mother every day." Which nursing diagnosis is MOST appropriate?

• Anxiety related to lack of knowledge about normal grieving

• Chronic sorrow related to ongoing distress about loss of mother

• Complicated grieving related to unresolved issues

• Hopelessness related to inability to resolve grief

What problem would a nurse identify in a patient who states they have been using acupuncture to help relieve severe back pain?

• No resolution of pain

• The likelihood of paralysis

• The possibility of contracting AIDS

• The potential for infection

Neuropathic pain is most likely described as:

• Burning

• Dull

• Mild

• Shock like

• Shooting

Which of the following statements tells you that the patient's spouse understands the use of patient controlled analgesia (PCA)

• "I can push the pain button whenever I think my loved one is in pain"

• "I can remind them to push the button, but I cannot push it for them"

• "No matter how many times they push the pain button they are getting pain medication"

• "If they ask for more pain medication the nurse can program an extra dose into the PCA for them"