A nurse is setting goals for a patient who has Stage 4 Breast cancer, is in hospice care, and is at the end of life.
Which of the following are realistic goals?

The patient will increase attendance at community social activities.

The patient will receive medication to minimize episodes of breakthrough pain.

The patient will experience a weight gain of one to two pounds per week.

The patient will verbalize an understanding of the mode of disease transmission.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Increasing attendance at community social activities may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. The patient’s physical condition and energy levels may limit their ability to participate in such activities.
Choice B rationale
Receiving medication to minimize episodes of breakthrough pain is a realistic and important goal for a patient in hospice care. Effective pain management is a key aspect of end-of-life care.
Choice C rationale
Experiencing a weight gain of one to two pounds per week may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. Patients at this stage of illness often experience weight loss, not gain.
Choice D rationale
Verbalizing an understanding of the mode of disease transmission may not be a relevant goal for a patient in hospice care with Stage 4 breast cancer. The focus of care at this stage is typically on comfort and quality of life, rather than disease education.

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Correct Answer is B

Explanation

Choice A rationale
Carbonic anhydrase inhibitors are not typically the first line of treatment for glaucoma. They work by decreasing the production of eye fluid, but they are usually used when other treatments have not been successful. Choice B rationale
Prostaglandin analogs, such as latanoprost and travoprost, are often the first line of treatment for glaucoma. They work by increasing the outflow of eye fluid to lower pressure in the eye.
Choice C rationale
Alpha-agonists are not typically the first line of treatment for glaucoma. They work by both decreasing the production of eye fluid and increasing its outflow, but they are usually used when other treatments have not been successful.
Choice D rationale
Beta-blockers, like timolol, are sometimes used as initial treatment for glaucoma, but they are not typically the preferred initial medication. They work by reducing the production of eye fluid.

A. Glucose level B. Metformin C. Smoking history D. WBC count E. Type 2 diabetes mellitus.

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale
High glucose levels can indicate uncontrolled diabetes, which can increase the risk of surgical complications such as infection and poor wound healing.
Choice B rationale
Metformin is a medication used to treat type 2 diabetes. It can increase the risk of lactic acidosis, especially in patients undergoing procedures that involve the use of contrast dye.
Choice C rationale
A history of smoking can increase the risk of surgical complications, including poor wound healing, infection, and lung problems.
Choice D rationale
An elevated white blood cell (WBC) count can indicate an infection or inflammation in the body, which can increase the risk of surgical complications.
Choice E rationale
Type 2 diabetes mellitus can increase the risk of surgical complications, including infection, poor wound healing, and cardiovascular complications.

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A nurse is setting goals for a patient who has Stage 4 Breast cancer, is in hospice care, and is at the end of life. Which of the following are realistic goals?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient with glaucoma is usually started on the lowest dose of medication. Which of the following is the preferred initial ophthalmic medication?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","C","D","E"]

Explanation

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A nurse is setting goals for a patient who has Stage 4 Breast cancer, is in hospice care, and is at the end of life.
Which of the following are realistic goals?