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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Turning off fans and heaters can help prevent the circulation of potentially contaminated air.
B. Evacuation may be necessary in extreme cases but should be done following established protocols and considering the safety of residents.
C. Closing doors and windows helps minimize the entry of external air, reducing exposure to potential contaminants.
D. Keeping fireplaces burning may increase the risk of indoor air pollution and is not a recommended action during a chemical disaster.
E. Placing wet towels under doors can help create a barrier to limit the entry of external air and contaminants.
Correct Answer is C
Explanation
A. Antihistamines are not typically contraindicated in gout.
B. Nonsteroidal anti-inflammatory drugs (NSAIDs) do not affect uric acid levels and can be used to treat gout flare-ups.
C. Salicylates are a type of medication that can increase the level of uric acid in the blood, which can worsen gout symptoms. Uric acid is a waste product that forms crystals in the joints, causing inflammation and pain.
D. Glucocorticoids may be used to manage acute gout attacks and are not necessarily contraindicated, but long-term use should be monitored.
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