A client who has metastatic bone cancer tells the nurse, “I want to go home to die.” The client’s family is concerned about meeting the client’s care needs at home. Which of the following actions should the nurse take?
Discuss a referral to home health and hospice care with the client and family.
Contact the social worker to assist with nursing home placement.
Talk with the provider about extending the client’s hospital stay.
Instruct the family about meeting the client’s palliative care needs at home.
The Correct Answer is A
A. Discuss a referral to home health and hospice care with the client and family.
This is the correct answer. Discussing a referral to home health and hospice care addresses the client's expressed desire to go home and provides the necessary support and care for both the client and the family during this challenging time.
B. Contact the social worker to assist with nursing home placement.
This option may not align with the client's wish to go home. Nursing home placement may not be the preferred choice, especially when the client wants to spend their final days in a home setting.
C. Talk with the provider about extending the client’s hospital stay.
Prolonging the hospital stay may not meet the client's expressed wish to go home and may not provide the same level of comfort and support as home health and hospice care.
D. Instruct the family about meeting the client’s palliative care needs at home.
While providing information about meeting palliative care needs at home is important, it is more comprehensive to involve home health and hospice services, which can provide skilled care, emotional support, and assistance to the family in managing the client's care needs at home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Skeletal traction
Skeletal traction involves the use of pins or wires that are surgically inserted directly into the bone. It is a more invasive form of traction commonly used during or after surgery. Skeletal traction provides a strong and direct pull on the bones, allowing for better alignment and immobilization.
B. Pelvic sling
A pelvic sling is not a specific type of traction. It may refer to a supportive device or garment that helps stabilize the pelvis. While it can provide support, it does not apply the same type of traction force as Buck's traction or skeletal traction.
C. Buck’s traction
Buck's traction is a type of skin traction commonly used as a temporary measure to immobilize and align fractured bones, particularly in the lower extremities. It involves the application of a boot or a splint to the affected leg, with traction applied through a system of weights and pulleys. Buck's traction is often used before hip surgery.
D. Russell’s traction
Russell's traction involves the application of traction to the lower leg using a splint and bandages. It is often used for fractures of the femur. While it is a form of traction, it is not commonly used for hip fractures.
Correct Answer is C
Explanation
A. Xerostomia
Xerostomia is dry mouth, a condition where the salivary glands do not produce enough saliva. It can have various causes, including medications, medical conditions, or dehydration. Xerostomia is not directly related to teeth grinding.
B. Halitosis
Halitosis is bad breath. While dental issues, including bruxism (teeth grinding), can contribute to bad breath, halitosis itself does not specifically describe teeth grinding.
C. Bruxism
Bruxism is the medical term for teeth grinding or clenching, especially during sleep. If a client suspects or reports grinding their teeth at night, it is appropriate to document and discuss the issue as bruxism. Bruxism can lead to dental problems, jaw pain, and headaches.
D. Sordes
Sordes refers to a collection of foul matter, such as debris or crusted material, around the mouth. It is not related to teeth grinding.
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