A nurse is assisting with teaching a class about medically futile treatment. The nurse should include which of the following as an example of medically futile treatment?
Administering an antiemetic to a client who has post chemotherapy nausea
Administering a narcotic analgesic to a client who has end stage cancer
Administering oral care for a client who has post chemotherapy mucositis
Administering chemotherapy to a client who has metastatic cancer
The Correct Answer is D
Choice A reason: This statement is incorrect because administering an antiemetic to a client who has post chemotherapy nausea is not medically futile. It is a supportive measure that can help the client to manage the side effects of chemotherapy and improve their comfort and quality of life.
Choice B reason: This statement is incorrect because administering a narcotic analgesic to a client who has end stage cancer is not medically futile. It is a palliative measure that can help the client to relieve their pain and suffering and improve their comfort and quality of life.
Choice C reason: This statement is incorrect because administering oral care for a client who has post chemotherapy mucositis is not medically futile. It is a preventive measure that can help the client to avoid infections and complications and improve their oral health and hygiene.
Choice D reason: This statement is correct because administering chemotherapy to a client who has metastatic cancer is medically futile. It is a curative measure that has no reasonable chance of achieving its intended goal of eradicating the cancer or prolonging the client's survival. It may also cause harm or distress to the client by exposing them to unnecessary risks and side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is false and should not be included in the teaching. Increase in saliva production does not increase the risk for dehydration, but rather helps to moisten the mouth and facilitate swallowing and digestion. Saliva production may decrease with aging due to factors such as medication side effects, dry mouth, or reduced fluid intake.
Choice B reason: This statement is false and should not be included in the teaching. Decrease in systolic blood pressure does not increase the risk for dehydration, but rather indicates a lower force of blood against the artery walls. Systolic blood pressure may decrease with aging due to factors such as reduced cardiac output, decreased vascular resistance, or orthostatic hypotension.
Choice C reason: This statement is true and should be included in the teaching. Decrease in kidney function increases the risk for dehydration, as it reduces the ability of the kidneys to concentrate urine and conserve water. Kidney function may decrease with aging due to factors such as reduced blood flow, decreased glomerular filtration rate, or loss of nephrons.
Choice D reason: This statement is false and should not be included in the teaching. Increase in percentage of body water does not increase the risk for dehydration, but rather indicates a higher proportion of water in relation to body weight. Percentage of body water may decrease with aging due to factors such as loss of muscle mass, increased fat tissue, or hormonal changes.
Correct Answer is D
Explanation
Choice A reason: SOAP documentation is not the correct method for documenting only unexpected findings. SOAP documentation requires the nurse to document both normal and abnormal findings, as well as the plan of care for the client.
Choice B reason: Problem oriented medical record (POMR) is not the correct method for documenting only unexpected findings. POMR is a method that organizes the documentation around the client's problems, rather than the source of data. It consists of four components: database, problem list, plan, and progress notes.
Choice C reason: Focus charting (DAR) is not the correct method for documenting only unexpected findings. Focus charting is a method that uses the nursing process and the client's perspective to document the client's care. It consists of three components: data, action, and response.
Choice D reason: Charting by exception (CBE) is the correct method for documenting only unexpected findings. CBE is a method that assumes that all standards of care are met unless otherwise documented. It allows the nurse to document only significant or abnormal findings, such as changes in the client's condition, interventions, or outcomes.
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