WGU C475 ElNEC Quizzes Module 4
Already Graded A
Symptom management in older adults with serious illness is complicated because: ✔✔Many have
multiple comorbidities.
You have been assigned to care for a woman who was
...
WGU C475 ElNEC Quizzes Module 4
Already Graded A
Symptom management in older adults with serious illness is complicated because: ✔✔Many have
multiple comorbidities.
You have been assigned to care for a woman who was recently admitted for advanced cancer, and
who reports ongoing fatigue. Her husband offers observations about his wife's fatigue. Which
statement by the husband indicates the most correct understanding of his wife's fatigue? ✔✔"She's
been in pain. If we control that maybe, she'll have more energy."
You are caring for a patient who is in the advanced stages of AIDS. The patient is reporting severe
fatigue. Which finding is commonly associated with the symptom of fatigue? ✔✔Sedating
medications
Mr. Jones is struggling with fatigue from his advanced heart failure. Which of the following
referrals would you recommend to help him with this debilitating symptom? ✔✔Occupational
therapy
Which of the following statements about dyspnea in patients at end of life is true? ✔✔Dyspnea
may be relieved by a cool fan blowing on the patient.
You are asking a nursing student to describe the assessment of a patient for dyspnea as part of endof-life care. Which statement by the student indicates understanding of the best method to assess
for dyspnea? ✔✔"I will ask my patient about his breathing."
Geraldine is an 80-year-old woman with Parkinson's disease. She is still functioning at home and
is able to safely care for herself. Ever since her diagnosis she has been extremely anxious about
her disease and how debilitated she might get as it progresses. Which of the following interventions
is most appropriate to help treat her anxiety? ✔✔Active listening and presence as she talks about
her fears and concerns
You are developing a plan of care for a patient with cancer-related pain who is taking sustainedrelease morphine sulfate 30 mg twice a day, along with 15 mg of immediate release morphine
sulfate every three hours as needed for breakthrough pain. Which goal is important to include in
the patient's plan of care? ✔✔Patient will have a bowel movement at least once every three days.
You are teaching the son of a 65-year-old male patient with cancer about his father's anorexia.
Which statement by the son reassures you that the son understands your teaching and ways to help
his father? ✔✔"We can offer Dad small, frequent feedings rather than large, overwhelming meals."
Mrs. F., a 78-year-old Italian woman, is caring for her husband who has end-stage COPD and is
experiencing anorexia and cachexia. She tells you that she is so upset that he won't eat her pasta
anymore, which was "always his favorite." She cannot understand why he doesn't like it anymore.
Which of the following is your best response? ✔✔"Food is such an important way that we show
we care; it must be so hard for you that he doesn't feel like eating."
Mrs. Smith has end-stage COPD and is admitted with severe dyspnea and is started on morphine
sulfate. Which of the following statements by her husband demonstrates he understands the use of
morphine in patients with COPD? ✔✔"The morphine is being used to treat her shortness of
breath."
You are caring for a patient in end-stage renal disease. The patient has no apparent family or
support systems. The patient is taking prescribed opioid analgesics for pain management yet
continues to complain of feeling tired. The patient states, "I wish it would all end." Which action
should you take first? ✔✔Evaluate the patient further for depression.
John's lung cancer is causing him severe shortness of breath. Which pharmacologic intervention
would be of most benefit for his dyspnea? ✔✔An opioid like morphine sulfate
You are caring for an elderly woman who has severe osteoporosis and is suffering with bone pain
from several spinal fractures. She is in bed most of the day, on a low dose opioid for the most
recent fracture, and is not eating or drinking much. Which of the following nursing interventions
to prevent constipation is best? ✔✔Recommend a physician order for a scheduled laxative and
stool softener.
You are caring for the following four patients. Which patient is at the highest risk for developing
constipation? ✔✔A 48-year-old with metastatic cancer of the breast on high doses of opioids for
pain.
You are caring for a 77-year-old patient at the end of life who has not had a bowel movement in
five days. Which sign should you assess the patient for to determine if a fecal impaction is present?
✔✔Sudden onset of liquid stool
Which of the following patients are you most concerned may have an undiagnosed depression?
✔✔A 71-year-old grandmother with pancreatic cancer who reports trouble sleeping, fatigue, and
doesn't care to see her grandchildren on the weekends anymore.
Which of the following patients' statements suggest that the patient is experiencing an existential
crisis? ✔✔"I am so afraid that God has abandoned me in my time of need."
You are doing a spiritual assessment on Mrs. H. Which of the following questions are the most
important to understanding her spirituality? ✔✔"What gives your life meaning?"
Mr. Tate tells you that he is very worried about dying. He knows his disease is terminal and he
only has a few months to live. He tells you he has done "some bad things" in his younger days and
thinks God is going to make him suffer with pain now because of his past. After listening to his
story, what is your best response? ✔✔"Would you like me to contact our chaplain? He's very good
at helping people who have concerns like yours?"
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