A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?
I am thinking of getting a second opinion.
This is not working, and I plan to stop treatment.
I am hoping this will help relieve my discomfort.
This is making me stronger every day.
The Correct Answer is C
A. Seeking a second opinion suggests the client may be exploring different treatment options, indicating some level of hope for improvement.
B. Expressing plans to stop treatment may indicate frustration or dissatisfaction but does not necessarily reflect acceptance of the prognosis.
C. Expressing a desire for symptom relief (in this case, discomfort) is indicative of an understanding and acceptance of palliative care.
D. Stating that the treatment is making the client stronger every day may reflect a positive attitude but does not necessarily indicate acceptance of the prognosis.
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Related Questions
Correct Answer is D
Explanation
A. The FACES scale is typically used with older children who can express their pain using facial expressions.
B. The Oucher scale is a self-report scale that relies on the child's ability to match their pain level to a set of standardized photographs.
C. The Visual Analog Scale is used with older children and adults but is not appropriate for infants.
D. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for infants and nonverbal children, taking into account their facial expressions, leg movement, activity level, cry, and consolability.
Correct Answer is A
Explanation
A. Swelling and tenderness around the wound are common signs of infection, indicating an inflammatory response to the presence of bacteria.
B. Brown crusting over the wound may suggest the presence of a scab or dried exudate, which is a normal part of the healing process and not necessarily indicative of infection.
C. Serosanguineous drainage is a type of wound drainage that is typically not a sign of infection but rather a mix of clear and blood-tinged fluid.
D. Urticaria and itching around the wound suggest an allergic reaction rather than a wound infection.
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