NURSING > EXAM > Exam 2 Immune, Cancer, & HIV/AIDS 2022 (All)

Exam 2 Immune, Cancer, & HIV/AIDS 2022

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Exam 2 Immune, Cancer, & HIV/AIDS 2022 1. The nurse is caring for a terminally ill patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. The nurse documents this finding as a. agonal breathing. b. apneustic breathing. c. death-rattle respirations. d. Cheyne-Stokes respirations. - Answer- D. Cheyne-Stokes respirations. CheyneStokes respirations are characterized by periods of apnea alternating with deep and rapid breaths. 2. A 21-year-old is dying after an automobile accident. The family members want to donate the patients organs and ask the nurse how the decision about brain death is made. The nurse explains that the patient will be considered brain dead when a. the patient is flaccid and unresponsive. b. CPR is ineffective in restoring heartbeat. c. the patient is apneic and without brainstem reflexes. d. respiratory efforts cease and no apical pulse is audible. - Answer- C. The pt is apneic & w/out brainstem reflexes. The diagnosis of brain death is based on irreversible loss of all brain functions, including brainstem functions that control respirations and brainstem reflexes. 3. A hospice patient is manifesting a decrease in all body system functions except for a heart rate of 124 and a respiratory rate of 28. The nurse explains to the family that these symptoms a. will continue to increase until death finally occurs. b. are a normal response before these functions decrease. c. indicate a reflex response to the slowing of other body systems. d. may be associated with an improvement in the patients condition. - Answer- B. Are a normal response before these functions decrease. An increase in heart & respiratory rate may occur before the slowing of these functions in the dying pt. 4. A patient who has been diagnosed with metastatic cancer and has a poor prognosis plans a trip across the country to settle some issues with my sisters and brothers. The nurse recognizes that the patient is manifesting the psychosocial response of a. restlessness. b. yearning and protest. c. anxiety about unfinished business. d. fear of the meaninglessness of ones life. - Answer- C. Anxiety about unfinished business. 5. The spouse of a patient with terminal lung cancer visits daily and cheerfully talks with the patient about vacation plans for the next year. When the nurse asks about any concerns, the spouse says, Im busy at work, but otherwise things are fine. An appropriate nursing diagnosis is a. ineffective coping related to lack of grieving. b. anxiety related to complicated grieving process. c. caregiver role strain related to feeling overwhelmed. d. hopelessness related to knowledge deficit about cancer. - Answer- A. Ineffective coping related to lack of grieving. Continues...

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