A nurse is caring for a client who is having palliative surgery. Which of the following should be included in the nurse's instruction?

"You will be more comfortable after you have surgery."

"The surgery will give your provider more information about the disease."

"The surgery will restore function."

"Your disease will hopefully be cured after the surgery."

Answer and Explanation

The Correct Answer is A

A. Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease. Therefore, informing the client that they will be more comfortable after surgery is an appropriate instruction.
B. Palliative surgery may not necessarily provide more information about the disease.

C. Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery.
D. Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.

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Correct Answer is A

Explanation

A. Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare.
B. Referring the client to a counselor can be appropriate, but the primary response should be to support the client's decision.
C. Encouraging the client not to give up may not be appropriate if the client has made a well- considered decision to refuse further treatment.
D. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.

A. Test for the presence of the client's gag reflex. B. Lubricate the lips with petroleum jelly. C. Place the client in the supine position. D. Use a firm toothbrush for tooth and gum care.

Correct Answer is B

Explanation

A. Testing for the gag reflex in an unconscious client may cause discomfort and is not necessary for oral care.
B. Lubricating the lips with petroleum jelly helps prevent dryness and cracking, maintaining comfort for the unconscious client.

C. Placing the client in the supine position may increase the risk of aspiration during oral care.
The head should be turned to the side (lateral position) to facilitate drainage.
D. Using a firm toothbrush may cause injury to the gums and oral tissues. A soft toothbrush is more appropriate for oral care in unconscious clients.

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A nurse is caring for a client who is having palliative surgery. Which of the following should be included in the nurse's instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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