An older adult client with metastatic lung cancer is experiencing shortness of breath as the result of bilateral pneumonia. The client has previously expressed an interest in hospice care. Which information should the practical nurse (PN) reinforce with the client and family regarding hospice care? Select all that apply.
Medications are limited to managing pain.
Care can be provided in the home.
Care focuses on quality of life at the end of life.
Curative measures are optional.
Family is responsible for care decisions.
Correct Answer : B,C,D
A. Medications are limited to managing pain: While pain management is a key component of hospice care, medications are not limited only to pain management. Hospice care also addresses other symptoms like shortness of breath, nausea, and anxiety to improve comfort.
B. Care can be provided in the home: Hospice care can indeed be provided in the home, allowing the client to remain in a familiar environment while receiving palliative care. This is a central aspect of hospice services.
C. Care focuses on quality of life at the end of life: Hospice care prioritizes comfort and quality of life, providing emotional, spiritual, and physical support for both the client and family at the end of life.
D. Curative measures are optional: In hospice care, curative treatments are typically discontinued because the focus shifts to palliative care aimed at comfort and symptom relief rather than attempting to cure the illness.
E. Family is responsible for care decisions: While families are involved in decisions, hospice care involves collaboration with the healthcare team, and decisions are made based on the patient's wishes and comfort, not solely by the family.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wear a surgical mask during all client contact: While wearing a surgical mask protects the nurse from inhaling respiratory droplets, it is equally important to prevent the client from spreading droplets to others, especially when moving outside the room.
B. Use an isolation gown when providing client care: An isolation gown protects against contact transmission rather than droplet transmission. Influenza spreads primarily through respiratory droplets, so gowns are not the primary measure to prevent its spread.
C. Determine if the client's room has negative airflow: Negative airflow rooms are necessary for airborne infections like tuberculosis, not for droplet-spread infections such as influenza. Standard precautions for influenza focus more on masking and hygiene practices.
D. Place a mask on the client if the client leaves the room: Masking the client when outside their room helps contain respiratory droplets, minimizing the risk of infecting others. This intervention is crucial in controlling the spread of influenza within healthcare settings.
Correct Answer is ["31"]
Explanation
Total volume to be infused: 250 mL of tube feeding.
To be infused over 8 hours.
Calculate the infusion rate in mL per hour.
Infusion rate (mL/hour) = Total volume (mL) / Total infusion time (hours)
= 250 mL / 8 hours
= 31.25
Round to the nearest whole number: 31.
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