Name: Score:
15 Multiple choice questions
Term 1 of 15
You are caring for an 82-year-old patient diagnosed with end-stage dementia. They have
developed dysphagia during the past few months. They previously signed advance directives
indicating they did not want medically administered nutrition and hydration. Their family reports
they have had a lack of appetite and a weight loss of 5 pounds over the past few weeks. Their
family asks what strategies they might implement at home to help with the patient's nutritional
intake. What strategy could you as the nurse recommend?
Provide diligent perineal care.
It sounds like food is an important part of your relationships. i hear your distress that he isn't
eating.
Incorporate the patient's favorite foods into meals
Conduct a screening for depression and risk of suicide.
Term 2 of 15
What is the MOST important during your assessment for constipation?
Anxiety
Usual bowel pattern
Ask the client about their breathing.
Pain
, Term 3 of 15
A client tells the nurse that he is very worried about dying. He knows his disease is terminal and
he only has a few months to live. He tells the nurse he has done "some bad things" in his younger
days and thinks God is going to make him suffer now because of his past. After listening to his
story, how should the nurse respond?
A client with an infection who is no longer oriented to person or place
Provide a fan to circulate cool air.
Serotonin (5-HT3) receptor agonists like ondansetron
What you have shared makes me wonder if you may be feeling some spiritual distress.
Would you like to talk to a member of our spiritual care team?
Term 4 of 15
The nurse is caring for a client who experiences severe nausea and vomiting after chemotherapy.
What pharmacologic intervention might be beneficial for this client?
Serotonin (5-HT3) receptor agonists like ondansetron
Antacids to neutralize stomach acid.
Antibiotics to treat potential infections.
Laxatives to relieve constipation.
Term 5 of 15
You are caring for an older adult client with rectal cancer who is incontinent of urine and stool.
The client has had five liquid bowel movements today. What interventions should you include in
the plan of care?
Implement fluid restriction.
Administer the prescribed opioid.
Insert a fecal management device.
Provide diligent perineal care.
15 Multiple choice questions
Term 1 of 15
You are caring for an 82-year-old patient diagnosed with end-stage dementia. They have
developed dysphagia during the past few months. They previously signed advance directives
indicating they did not want medically administered nutrition and hydration. Their family reports
they have had a lack of appetite and a weight loss of 5 pounds over the past few weeks. Their
family asks what strategies they might implement at home to help with the patient's nutritional
intake. What strategy could you as the nurse recommend?
Provide diligent perineal care.
It sounds like food is an important part of your relationships. i hear your distress that he isn't
eating.
Incorporate the patient's favorite foods into meals
Conduct a screening for depression and risk of suicide.
Term 2 of 15
What is the MOST important during your assessment for constipation?
Anxiety
Usual bowel pattern
Ask the client about their breathing.
Pain
, Term 3 of 15
A client tells the nurse that he is very worried about dying. He knows his disease is terminal and
he only has a few months to live. He tells the nurse he has done "some bad things" in his younger
days and thinks God is going to make him suffer now because of his past. After listening to his
story, how should the nurse respond?
A client with an infection who is no longer oriented to person or place
Provide a fan to circulate cool air.
Serotonin (5-HT3) receptor agonists like ondansetron
What you have shared makes me wonder if you may be feeling some spiritual distress.
Would you like to talk to a member of our spiritual care team?
Term 4 of 15
The nurse is caring for a client who experiences severe nausea and vomiting after chemotherapy.
What pharmacologic intervention might be beneficial for this client?
Serotonin (5-HT3) receptor agonists like ondansetron
Antacids to neutralize stomach acid.
Antibiotics to treat potential infections.
Laxatives to relieve constipation.
Term 5 of 15
You are caring for an older adult client with rectal cancer who is incontinent of urine and stool.
The client has had five liquid bowel movements today. What interventions should you include in
the plan of care?
Implement fluid restriction.
Administer the prescribed opioid.
Insert a fecal management device.
Provide diligent perineal care.
