A nurse is reinforcing teaching about palliative care to a client who has cancer. Which of the following statements should the nurse make?
"It is for clients who have a terminal illness."
"It is for clients who are given 6 months or less to live."
"It includes restriction of nutritional support."
"It enhances quality of life by promoting comfort."
The Correct Answer is D
A. Stating that palliative care is only for clients with a terminal illness is incorrect. Palliative care is designed for clients with serious, chronic, or life-threatening illnesses and focuses on symptom management and quality of life, regardless of prognosis.
B. Limiting palliative care to those with 6 months or less to live is incorrect. This definition applies to hospice care, not palliative care. Palliative care can be provided alongside curative treatments at any stage of illness.
C. Including restriction of nutritional support is incorrect. Palliative care emphasizes comfort and symptom relief, including providing adequate nutrition and hydration as appropriate for the client’s needs and wishes.
D. Enhancing quality of life by promoting comfort is correct. Palliative care aims to relieve symptoms such as pain, nausea, and fatigue while supporting the client’s emotional, psychological, and spiritual well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Leukorrhea is correct. Leukorrhea, a normal increase in vaginal discharge, is a common discomfort during the first trimester of pregnancy. It is typically white or clear and odorless, and is caused by hormonal changes.
B. Burning during urination is incorrect. Burning during urination is not a normal discomfort of pregnancy and could indicate a urinary tract infection (UTI), which requires further evaluation and treatment.
C. Swelling of the face is incorrect. Swelling, especially of the face, is not typical during the first trimester and could be a sign of a more serious condition, such as preeclampsia, and should be investigated further.
D. Diarrhea is incorrect. While gastrointestinal changes can occur during pregnancy, diarrhea is not typically a common discomfort of the first trimester. Constipation, on the other hand, is more common due to hormonal changes that slow down bowel motility.
Correct Answer is C
Explanation
A. Inspect the preschooler's tonsils for edema.: While tonsil inspection might be part of a general assessment, in a child with suspected epiglottitis, inspecting the throat should be avoided as it can trigger airway obstruction or cause further distress.
B. Collect a sputum sample.: Sputum collection is not typically indicated for epiglottitis diagnosis. A rapid diagnosis is essential to ensure timely intervention, and sputum samples are not a key diagnostic tool for this condition.
C. Determine the preschooler's oxygen saturation level.: Epiglottitis can lead to significant airway obstruction, so monitoring the oxygen saturation level is critical to assess for hypoxia and ensure adequate oxygenation. Early intervention may be required to maintain the child's airway.
D. Obtain a specimen for throat culture.: A throat culture should not be obtained in suspected epiglottitis, as manipulating the throat could cause complete airway obstruction. Immediate intervention to secure the airway is the priority.
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