A nurse is planning care for a client who is to begin receiving hospice care. Which of the following interventions should the nurse include in the plan?

Insert a peripheral catheter to deliver intravenous fluids.

Obtain a prescription for parenteral nutrition.

Offer the client massage therapy:

Initiate a referral for physical therapy.

Answer and Explanation

The Correct Answer is C

A. Insert a peripheral catheter to deliver intravenous fluids: Routine IV fluid administration is not a standard intervention in hospice care unless specifically indicated for symptom management. The focus in hospice is on comfort and quality of life rather than aggressive interventions, so placing an IV line for routine hydration is generally avoided.

B. Obtain a prescription for parenteral nutrition: Parenteral nutrition is typically not initiated in hospice care because it does not improve comfort or quality of life and may cause discomfort or complications. Hospice care prioritizes symptom management, pain relief, and emotional support rather than aggressive nutritional interventions.

C. Offer the client massage therapy: Massage therapy is an appropriate intervention in hospice care as it promotes comfort, reduces pain, alleviates anxiety, and supports emotional well-being. Complementary therapies like massage are aligned with hospice goals of enhancing quality of life and providing holistic care for clients nearing the end of life.

D. Initiate a referral for physical therapy: Physical therapy in hospice is generally limited and focused only on maintaining comfort and safe mobility rather than improving function or strength. While referrals can be made if needed, massage therapy is a more direct intervention to address comfort and symptom management at this stage of care.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Rationale:

A. "Take the medication with an antacid if gastrointestinal upset occurs.": Antacids can bind to tetracycline and significantly reduce its absorption, making the antibiotic less effective. Clients should be instructed to avoid taking tetracycline simultaneously with antacids.

B. "Use a hormonal contraceptive when sexually active.": Tetracycline can decrease the effectiveness of hormonal contraceptives, so clients should use an additional form of contraception rather than relying solely on hormonal methods. This statement should emphasize using a backup method rather than suggesting hormonal contraceptives alone.

C. "Avoid taking this medication with milk.": Calcium-containing products, including milk, can bind to tetracycline and impair absorption. Clients should take the medication with water and separate it from dairy products by at least 2 hours to ensure effectiveness.

D. "Exposure to direct sunlight can help this medication improve acne.": Tetracycline increases photosensitivity, making clients more prone to sunburn. Clients should avoid direct sunlight and use protective measures such as sunscreen, hats, and protective clothing, rather than seeking sun exposure.

A. Encourage the client to take sips of diluted fruit juice. B. Give the client a pureed diet. C. Check the client's swallowing reflex. D. Provide the client with a full liquid diet.

Correct Answer is C

Explanation

A. Encourage the client to take sips of diluted fruit juice: Offering small amounts of juice may help introduce oral intake gradually, but it is not the first step. Ensuring the client can safely swallow is essential before providing any oral fluids to prevent aspiration and other complications.

B. Give the client a pureed diet: Transitioning to a pureed diet is part of advancing nutrition after confirming that the client can swallow safely. Starting this too early without assessing swallowing ability can increase the risk of choking or aspiration.

C. Check the client's swallowing reflex: Assessing the swallowing reflex is the priority when tapering a client from TPN. Safe oral intake depends on intact swallowing function, and identifying any deficits early prevents aspiration, aspiration pneumonia, or other serious complications during the transition to oral nutrition.

D. Provide the client with a full liquid diet: A full liquid diet is a step in progressing from TPN to oral intake, but it should only be introduced after confirming the client can swallow safely. Skipping the assessment of the swallowing reflex could place the client at risk for airway compromise.

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A nurse is planning care for a client who is to begin receiving hospice care. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is taking tetracycline to treat acne. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who has been receiving long-term total parenteral nutrition (TPN). Which of the following actions should the nurse take first to taper the client from the TPN?

Correct Answer is C

Explanation

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