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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While adequate lighting is important for people with vision impairment, direct lighting from open window shades can create glare, which can make vision problems worse.
Choice B rationale
Facing the patient when speaking to them can help the patient use visual cues to better understand the conversation.
Choice C rationale
Using gestures can be helpful for some patients with vision impairment, but it may not be beneficial for a patient with moderate vision impairment who may not be able to see the gestures clearly.
Choice D rationale
Speaking loudly is not necessary for a patient with vision impairment unless they also have a hearing impairment.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
An electrical cord on the floor over a walkway can pose a tripping hazard, increasing the risk of falls. It’s important to keep walkways clear of any obstacles to prevent falls.
Choice B rationale
Using a cane to ambulate does not necessarily increase the risk of falls. In fact, canes are often used to improve balance and stability, reducing the risk of falls. However, it’s important that the cane is used correctly and is the right height for the individual.
Choice C rationale
Unsecured throw rugs, especially over a slippery surface like a tile floor, can easily cause someone to slip and fall. It’s recommended to secure rugs with non-slip backing or remove them entirely from high-traffic areas.
Choice D rationale
Macular degeneration can lead to vision loss, which can increase the risk of falls. Individuals with vision impairments may not be able to see hazards in their path, making them more prone to falls.
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