A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?

Request a referral for a social worker.

Instruct the client that they need to change their advance directives first.

Discuss the client's wishes with their provider.

Ask the client why they do not want to continue treatment.

Answer and Explanation

The Correct Answer is C

A. Request a referral for a social worker.

While involving a social worker may be beneficial for additional support, the initial step should be to discuss the client's wishes with the healthcare provider.

B. Instruct the client that they need to change their advance directives first.

Changing advance directives is a process that involves legal and ethical considerations. However, the immediate concern is to have a conversation with the healthcare provider to understand the client's current wishes.

C. Discuss the client's wishes with their provider.

Explanation: When a client expresses a desire to discontinue treatment, it is important for the nurse to facilitate open communication between the client and their healthcare provider. This discussion allows the healthcare provider to explore the client's reasons for refusing further treatment, provide information about potential consequences, and address any concerns. It ensures that the client's wishes are fully understood, and decisions are made collaboratively with the healthcare team

D. Ask the client why they do not want to continue treatment.

While understanding the client's reasons is important, initiating a conversation with the healthcare provider should precede further exploration of the client's preferences and concerns.

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Correct Answer is B

Explanation

A. "I don't want to lose control of my ability to make decisions."This statement expresses a fear of losing autonomy, which is a common concern for individuals with chronic illnesses. It does not directly indicate a risk for suicide.

B. "I know that everything will be better soon."This statement can be a red flag, as it might suggest that the client has lost hope and may be contemplating suicide as a way to make things "better" in their mind.

C. "I am relying more and more on my partner for support."This response indicates that the client is seeking and receiving support from their partner. While it shows a need for assistance, it does not imply suicidal ideation.

D. "I am afraid of experiencing pain near the end."This statement reflects a fear of future pain and suffering, which is a valid concern for individuals with terminal illnesses. While it does not directly indicate a risk for suicide, it is essential to address pain management and provide reassurance to the client about end-of-life care.

A. The anthrax vaccine is ineffective following direct anthrax exposure. B. Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax. C. Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax. D. Manifestations of anthrax infection appear within 3 days of exposure.

Correct Answer is C

Explanation

A. The anthrax vaccine is ineffective following direct anthrax exposure.

Explanation: The anthrax vaccine is a preventive measure but is not considered a treatment for individuals who have already been directly exposed to anthrax. Post-exposure prophylaxis with antibiotics is the primary intervention in such cases.

B. Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.

Explanation: The duration of prophylactic treatment may vary depending on the specific antibiotic used. While a 10-day course is common, the exact duration may be determined based on the specific antibiotic prescribed and updated recommendations from public health authorities.

C. Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax.

Explanation: In the event of widespread public exposure to anthrax, prophylactic antibiotics such as ciprofloxacin are recommended for asymptomatic individuals who were directly exposed. Ciprofloxacin is one of the antibiotics effective against Bacillus anthracis, the bacterium that causes anthrax. Providing prompt prophylactic treatment can prevent the development of anthrax infection.

D. Manifestations of anthrax infection appear within 3 days of exposure.

Explanation: The incubation period for anthrax can vary, and symptoms may not appear within 3 days of exposure. The incubation period can range from days to weeks, and the onset of symptoms may depend on factors such as the dose of exposure and the strain of anthrax.

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A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?

Nursing Test Bank

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