NUR 334 Questions (Prep U) | Questions with Verified Answers
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Course
NUR 334
Institution
NUR 334
NUR 334 Questions (Prep U) | Questions with Verified Answers A client with multiple sclerosis is being discharged. The nurse understands that living with chronic conditions imposes many challenges, including the need to accomplish the following. Choose all that apply. 1. Alleviate and manage symp...
A client with multiple sclerosis is being discharged. The nurse understands that living
with chronic conditions imposes many challenges, including the need to accomplish the
following. Choose all that apply.
1. Alleviate and manage symptoms
2. Validate family functioning
3. Validate individual self-worth
While talking with a client who has been diagnosed with a terminal illness, the client
asks, " Am I dying?" Which response from the nurse would be appropriate? Select all
that apply.
1. "This must be very difficult for you."
2. "Tell me more about what's on your mind."
A client and family are dealing with the client's recent terminal diagnosis. A nurse
identifies a nursing diagnosis of hopelessness. Which of the following would be most
helpful in supporting hope for this family? Select all that apply.
1. Arranging for appropriate psychosocial counseling
2. Encouraging the client to participate in care to foster control
3. Helping to obtain support from the community
A patient near the end of life is experiencing anorexia-cachexia syndrome. What
characteristics of the syndrome does the nurse recognize? (Select all that apply.)
1. Alterations in carbohydrate, fat, and protein metabolism
2. Endocrine dysfunction
3. Anemia
Anorexia and cachexia are common problems at the end of life. The nurse plays an
important role in managing symptoms and preventing complications. Which of the
following are appropriate nursing interventions for these problems? Select all that apply.
1. Encourage the patient to eat in an upright position.
2. Recommend that the patient eat when hungry, regardless of usual meal times.
3. Teach the patient how to increase the nutritional value of meals (i.e., add dry milk
powder to milk).
A nursing instructor is lecturing to the junior students about common misconceptions of
chronic illness. The instructor asks the students to write down and share some
misconceptions with one another. Which of the following are common misconceptions?
Choose all that apply.
, 1. Chronic diseases cannot be prevented.
2. Chronic diseases mainly affect people who are rich.
3. Everyone has to die of something and so chronic illness should not be treated.
A nurse who provides care on a palliative unit of a busy urban hospital performs
numerous task and roles in the provision of holistic care to patients and their families.
Which of the following tasks is essential for nurses to manage patients at the end of
life? Select all that apply.
1. Educate patients and families about end-of-life decision making.
2. Contribute to a coordinated, interdisciplinary plan of care.
3. Manage pain and symptoms.
When evaluating a patient's response to acute pain, the nurse assesses for the
presence of physiologic responses associated with the pain experience. Select all that
apply:
1. Decreased urinary output
2. Hyperglycemia
3. Increased cardiac output
4. Increased metabolic rate
Endorphins are chemicals that are released in response to painful stimuli. Select all the
statements that represent the actions of endorphins. They:
1. Are found in heavy concentrations in the central nervous system.
2. Inhibit the transmission of painful impulses.
3. Produce analgesia and euphoria.
4. Are endogenous neurotransmitters structurally similar to opioids.
What does the nurse understand is the advantage of using intraspinal infusion to deliver
analgesics? (Select all that apply.)
1. Effects on pulse, respirations, and blood pressure are reduced.
2. Side effects of systemic analgesia are reduced.
3. The need for injections decreases in frequency.
The client has suffered an injury to his right leg and is reporting pain at the level of "5"
on a scale of 0 to 10. The client has a history of peripheral arterial disease. The client
requests nonpharmacologic interventions. The nurse does all of the following
1. massages the client's back and shoulders
2. teaches the client to perform slow, rhythmic breathing
3. turns on the television to a show the client asks to watch
The nurse administered an analgesic to a client who was reporting pain. The medication
is ordered as needed every 3 hours. Forty minutes later the client states he has had
little relief. The nurse does all of the following:
1. consults with the healthcare provider about the client's report
2. evaluates the pain level using the established pain scale
3. assesses respirations, pulse, and blood pressure
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