A home hospice nurse is caring for a client who has end-stage osteosarcoma and informs the nurse that they have been receiving acupuncture treatment to help with the pain. Which of the following responses should the nurse make?
"This can be part of your plan as long as your provider approves."
"This can be a good decision to help you meet your behavioral health needs.
"It's important to avoid acupuncture since complementary therapy is not proven to help with end-stage care.
"It's important that you choose the type of care that is most effective for you."
The Correct Answer is A
A. Complementary therapies such as acupuncture can be beneficial and may be included in the care plan with provider approval.
B. While behavioral health needs are important, the primary focus here is pain management.
C. Complementary therapies can be effective in managing symptoms, and dismissing them without consideration is not supportive.
D. While patient choice is important, ensuring safety and efficacy through provider approval is crucial.
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Related Questions
Correct Answer is C
Explanation
A. Moving the cane 2 feet ahead is too far and can lead to instability; the cane should be moved a short distance for balance.
B. The client should step with the weaker leg first, followed by the stronger leg for proper support and balance.
C. Advancing the weaker leg forward to the cane ensures the cane can support the weaker side during ambulation.
D. The cane should be held in the hand opposite the weaker leg to provide better support and balance.
Correct Answer is ["A","D","E","F"]
Explanation
A. DKA can lead to several complications, including hypotension, which is indicated by the client's low blood pressure reading of 96/65 mm Hg.
B. Respiratory alkalosis is less likely because DKA typically leads to metabolic acidosis, as indicated by the low pH of 7.30.
C. DKA does not result in septic shock but it instead causes hypovolemic shock in case of severe dehydration.
D. Cardiac arrhythmias can occur due to the electrolyte imbalances, as evidenced by the high potassium level of 5.5 mEq/L.
E. Renal failure is another potential complication, suggested by the elevated creatinine level of 1.7 mg/dL. The client's hyperglycemia and dehydration can stress the kidneys, potentially leading to acute kidney injury or renal failure.
F. Cerebral edema is a less common but severe complication of DKA, especially in children and adolescents, and should be considered given the client's symptoms of frequent urination and extreme thirst. It results from over-hydration of the client.
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