A home health nurse is visiting a client who has colon cancer.
The client states, “I do not want any further treatment.”. What should the nurse do?

Request a referral for a social worker.

Discuss the client’s wishes with their provider.

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

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

Answer and Explanation

The Correct Answer is C

Choice A rationale

Requesting a referral for a social worker may be beneficial in some cases, but it is not the most appropriate initial response. The nurse should first seek to understand the client’s feelings and concerns.

Choice B rationale

Discussing the client’s wishes with their provider is important, but it should come after understanding the client’s perspective. The nurse should respect the client’s autonomy and privacy.

Choice C rationale

This is the correct answer. The nurse should ask the client why they do not want to continue treatment. This allows the nurse to understand the client’s perspective, provide emotional support, and ensure that the client is making an informed decision.

Choice D rationale

Instructing the client to change their advance directives first is not the most appropriate initial response. While advance directives are important legal documents that express a client’s wishes for medical treatment, the nurse should first seek to understand the client’s feelings and concerns.

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Correct Answer is A

Explanation

Choice A rationale

The first action to take in the initial phase of planning a smoking cessation program should be to determine the prevalence of smoking in the community. This is important because it helps to understand the magnitude of the problem and the potential impact of the program. It also helps in setting realistic goals for the program and in securing funding and other resources.

Choice B rationale

While formulating objectives for the smoking cessation program is an important step, it should come after determining the prevalence of smoking in the community. The objectives should be based on the needs and characteristics of the target population, which can only be understood by first assessing the prevalence.

Choice C rationale

Gaining community support for the program is crucial for its success. However, this should come after the prevalence of smoking has been determined and objectives for the program have been formulated.

Choice D rationale

Evaluating the methods of successful smoking cessation programs can provide valuable insights for planning the program. However, this should not be the first action. The first step should be to understand the extent of the problem in the community.

A. Temperature B. Client’s statement about “bites” C. Travel history D. Lymph node assessment E. Body aches F. New onset of weakness G. Headache and chills H. Pruritic lesions on the right leg I. Clear lungs to auscultation bilaterally

Correct Answer is ["A","B","C","D","E","F","G","H"]

Explanation

Choice A rationale: The client’s persistent fever is a common symptom of the plague and many other infections.

Choice B rationale: The client’s statement about getting flea bites during their trip is significant because the plague is often transmitted through the bite of an infected flea.

Choice C rationale: The client’s recent travel to South Asia could have exposed them to areas where plague is endemic or there are ongoing outbreaks.

Choice D rationale: The presence of tender, inguinal lymphadenitis (swollen lymph nodes in the groin area) is a classic sign of bubonic plague.

Choice E rationale: Body aches can be a symptom of the systemic infection caused by the plague.

Choice F rationale: New onset of weakness can be a symptom of the systemic infection caused by the plague.

Choice G rationale: Headache and chills are common symptoms of the plague and many other infections.

Choice H rationale: Pruritic (itchy) lesions on the right leg could be the site of the flea bites that transmitted the plague bacteria.

Choice I rationale: Clear lungs to auscultation bilaterally does not necessarily rule out the plague. While pneumonic plague does affect the lungs, bubonic plague (the most common form) primarily causes lymphadenitis and does not typically present with respiratory symptoms in the early stages.

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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.”. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the first action to take in the initial phase of planning a smoking cessation program?

Correct Answer is A

Explanation

A nurse in a public health department is caring for a client. Exhibits Which of the following data in the client’s medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.

Correct Answer is ["A","B","C","D","E","F","G","H"]

Explanation

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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.”. What should the nurse do?