46: A nurse is teaching a newly licensed nurse about palliative care. Which of the following information should the nurse include?
The goal of palliative care is to prolong the life of a client.
Palliative care is not restricted to clients who are terminally ill.
Palliative care should be avoided for a client who is receiving a cure.
Palliative care is limited to clients who are in a healthcare facility.
The Correct Answer is B
A. The goal of palliative care is to prolong the life of a client: The primary goal of palliative care is to improve the quality of life by managing symptoms and providing comfort, rather than focusing solely on prolonging life.
B. Palliative care is not restricted to clients who are terminally ill: Palliative care can be provided to clients at any stage of a serious illness, regardless of whether they are terminally ill. It focuses on relief from symptoms and improving quality of life.
C. Palliative care should be avoided for a client who is receiving a cure: Palliative care can be provided alongside curative treatment to manage symptoms and improve quality of life throughout the treatment process.
D. Palliative care is limited to clients who are in a healthcare facility: Palliative care can be provided in various settings, including home care, outpatient clinics, and healthcare facilities.
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Correct Answer is C
Explanation
A. Grandparents: While grandparents can provide useful information, the primary and most accurate data source for a toddler's immediate care and developmental history would typically be the parents, who are the primary caregivers.
B. Admitting provider: The admitting provider offers valuable medical information, but the best source of data regarding the child’s current condition and history would come from those who are closest to the child and involved in their daily care.
C. Parents: Parents are the most reliable source for accurate and up-to-date information about their child’s health, developmental history, and current condition. They are directly involved in the child's daily life and care.
D. Medical record: While the medical record contains important historical data, the most current and relevant information about the toddler’s condition and immediate needs should be obtained from the parents.
Correct Answer is B
Explanation
A. Irrigate and perform a dressing change for a client who has a pressure injury wound: This task requires specialized knowledge and skill, particularly in wound care management. It involves assessing the wound, choosing appropriate dressings, and monitoring for signs of infection, which are beyond the scope of duties for assistive personnel.
B. Obtain a daily weight on a client who has heart failure: This task is suitable for delegation to an assistive person because it is a routine, non-invasive procedure that does not require clinical judgment or assessment. It helps in monitoring the client's condition, especially in heart failure management.
C. Teach the use of an incentive spirometer to a postoperative client: Teaching involves educating the client on the proper technique and benefits of using the device, which requires nursing judgment and the ability to address questions or concerns. This task should be performed by a nurse.
D. Administer oral PRN pain medication to a client who has arthritis: Administering medications involves evaluating the client’s pain level, assessing potential side effects, and ensuring the correct medication is given, which requires a nurse’s clinical judgment and knowledge.
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