NUR401 - Test bank
Ch. 13
1. The nurse is caring for a terminally ill client who has 20-second periods of
apnea followed by
periods of deep and rapid breathing. Which of the following terms should the
nurse use to
document this finding?
a. Agonal breathing
b. Apneustic breathing
c. Death rattle respirations
d. Cheyne-Stokes respirations: ANS: D
,2. 4. The nurse is caring for a client who has been diagnosed with metastatic
cancer and plans a trip across the country "to settle some issues with my sisters
and brothers." Which of the responses should the nurse recognize that the
client is manifesting?
a. Restlessness
b. Yearning and protest
c. Anxiety about unfinished business
d. Fear of the meaninglessness of one's life: ANS: C
3. 5. The spouse of a client with terminal lung cancer visits daily and cheerfully
talks with the client about vacation plans for the next year. When the nurse asks
about any concerns, the
,spouse says, "I'm busy at work, but otherwise things are fine." Which of the
following nursing diagnoses is appropriate?
a. Ineffective denial related to the threat of unpleasant reality
b. Anxiety related to the threat to current status
c. Caregiver role strain related to inexperience with caregiving
d. Hopelessness related to chronic stress: ANS: A
4. 6. As the nurse admits a client with severe heart failure to the hospital, the
client tells the nurse, "If my heart or breathing stops, I do not want to be
resuscitated." Which of the following actions should the nurse take?
a. Ask if these wishes have been discussed with the health care provider.
b. Place a "do not resuscitate" (DNR) notation in the client's care plan.
, c. Inform the client that a notarized advance directive must be included in the
record
or resuscitation must be performed.
d. Advise the client to designate a person to make health care decisions when
the
client is not able to make them independently.: ANS: A
5. 7. A client who is very close to death is very restless and keeps repeating, "I
am not ready to die." Which of the following actions should the nurse take?
a. Remind the client that no one feels ready for death.
b. Sit at the bedside and ask if there is anything the client needs.
c. Insist that family members remain at the bedside with the client.
Ch. 13
1. The nurse is caring for a terminally ill client who has 20-second periods of
apnea followed by
periods of deep and rapid breathing. Which of the following terms should the
nurse use to
document this finding?
a. Agonal breathing
b. Apneustic breathing
c. Death rattle respirations
d. Cheyne-Stokes respirations: ANS: D
,2. 4. The nurse is caring for a client who has been diagnosed with metastatic
cancer and plans a trip across the country "to settle some issues with my sisters
and brothers." Which of the responses should the nurse recognize that the
client is manifesting?
a. Restlessness
b. Yearning and protest
c. Anxiety about unfinished business
d. Fear of the meaninglessness of one's life: ANS: C
3. 5. The spouse of a client with terminal lung cancer visits daily and cheerfully
talks with the client about vacation plans for the next year. When the nurse asks
about any concerns, the
,spouse says, "I'm busy at work, but otherwise things are fine." Which of the
following nursing diagnoses is appropriate?
a. Ineffective denial related to the threat of unpleasant reality
b. Anxiety related to the threat to current status
c. Caregiver role strain related to inexperience with caregiving
d. Hopelessness related to chronic stress: ANS: A
4. 6. As the nurse admits a client with severe heart failure to the hospital, the
client tells the nurse, "If my heart or breathing stops, I do not want to be
resuscitated." Which of the following actions should the nurse take?
a. Ask if these wishes have been discussed with the health care provider.
b. Place a "do not resuscitate" (DNR) notation in the client's care plan.
, c. Inform the client that a notarized advance directive must be included in the
record
or resuscitation must be performed.
d. Advise the client to designate a person to make health care decisions when
the
client is not able to make them independently.: ANS: A
5. 7. A client who is very close to death is very restless and keeps repeating, "I
am not ready to die." Which of the following actions should the nurse take?
a. Remind the client that no one feels ready for death.
b. Sit at the bedside and ask if there is anything the client needs.
c. Insist that family members remain at the bedside with the client.
