A patient has been diagnosed with terminal cancer and has decided to not continue with treatment. The nurse would recommend a consult with which healthcare specialty?
Radiation Oncology
Hospice
Psychiatry
Surgical oncology
The Correct Answer is B
A. Radiation oncology is focused on the use of radiation therapy to treat cancer. Since the patient has decided not to continue with treatment, this specialty would not be the most appropriate recommendation in this situation.
B. Hospice care is the most appropriate recommendation for a patient with a terminal diagnosis who has chosen to stop curative treatments. This specialty focuses on comfort, pain management, and emotional support for patients with a life expectancy of six months or less. It provides a multidisciplinary team to assist the patient and family during the end-of-life process.
C. Psychiatry may be helpful if the patient is experiencing significant emotional or psychological distress, but it is not the primary specialty needed for a terminal cancer patient who is opting for comfort-focused care.
D. Surgical oncology involves the physical removal of cancerous tumors through operative procedures. Because the patient has decided not to continue with cancer treatment, surgery—which is an invasive form of treatment—is no longer an objective. A surgical consult would not align with the patient’s goal of comfort and the cessation of aggressive medical interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["66.7"]
Explanation
Step 1: Write down the formula
Rate (mL/hr) = Total Volume (mL) ÷ Time (hours)
Step 2: Plug in the values
Rate = 1600 mL ÷ 24 hr
Step 3: Calculate
Rate = 66.6667 mL/hr
Step 4: Round to the nearest tenth
Rate ≈ 66.7 mL/hr
Correct Answer is B
Explanation
A. Waxed dental floss is generally safe for most patients, including those receiving chemotherapy. It is important to be gentle when flossing to avoid injuring sensitive gums, which may be more prone to bleeding during chemotherapy due to reduced platelet count.
B. Alcohol-based mouthwashes should be avoided during chemotherapy because they can cause dryness and irritation to the mucous membranes in the mouth, which are already sensitive due to the side effects of chemotherapy. Alcohol can exacerbate mucositis (inflammation of the mucous lining) and increase discomfort.
C. Soaking dentures in hydrogen peroxide is generally safe for denture care, as hydrogen peroxide can be used to disinfect dentures. However, it is important to ensure that dentures are thoroughly rinsed after soaking to avoid irritation to the mouth.
D. Using a soft-bristled toothbrush is safe and recommended. A soft-bristled toothbrush is ideal for patients receiving chemotherapy, as their gums and mouth may become more sensitive. Brushing gently can help maintain oral hygiene without causing injury.
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