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Terms in this set (100)

A nurse is caring for a client who underwent surgery for laryngeal cancer. Which nursing action may help to communicate effectively with the client? Select all that apply.
1
Asking the client open-ended questions
Correct 2
Providing the client with praise and encouragement
Correct 3
Collaborating with a speech and language pathologist
4
Using a high-pitched tone of voice to speak with the client
Correct 5
Asking the client to make noise when immediate attention is required
Following a surgery for laryngeal cancer, a client may not be able to talk because of removal of the vocal cords. Praising or encouraging the client may help to motivate the client to communicate more effectively. Collaborating with a speech and language pathologist can help to make the client aware of different ways to effectively communicate. Asking the client to make noise may help the client avoid accidents and may help to alert the nurse if the client needs attention. Open-ended question should not be asked because the client may not be able to explain things. Asking simple questions requiring an answer of yes or no may be more useful. After laryngeal surgery clients may not be able talk but can hear properly. Therefore a normal tone of voice should be used.

Test-Taking Tip: Be alert for details about what you are being asked to do. In this Question Type, you are asked to select all options that apply to a given situation or client. All options likely relate to the situation, but only some of the options may relate directly to the situation.
A nurse is caring for a client who has developed dysphagia and is unable to swallow. The client is receiving around-the-clock opioid pain medications for cancer pain, and hospice has recently begun caring for the client. What is the best nursing intervention in preparing for the client's discharge?
1
Contact the client's healthcare provider to ask to substitute a liquid form of medications for the pill form.
2
Teach the client and family members to crush the pills and administer them with applesauce.
Correct3
Contact the client's healthcare provider to discuss use of transdermal medications for pain control.
Incorrect4
Teach the client and family members about addiction that may occur as a result of regular opioid use.
The client will be discharged home with hospice and therefore there is no chance that dysphagia will be relieved by surgery or will improve by other measures. Considering that the client is approaching death and the client's condition is deteriorating, the transdermal route of administration of the pain medications is less invasive and provides comfort. The liquid form of pain medication or crushing the pills and administering them with applesauce is not possible because the client has dysphagia. The client is approaching the end of life and requires comfort measures; therefore opioid addiction is not a nursing concern for the dying client.

STUDY TIP: Answer every question. A question without an answer is the same as a wrong answer. Go ahead and guess. You have studied for the test and you know the material well. You are not making a random guess based on no information. You are guessing based on what you have learned and your best assessment of the question.