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 C
Explanation
A. Maintain sterile technique during specimen collection: Sterile technique is required for urine cultures, not for 24-hour urine collections. For a timed urine collection, clean collection techniques are sufficient to accurately measure excretion over a full day.
B. Assist the client to cleanse the perineal area prior to voiding: While perineal hygiene is important, it is not the primary step when starting a 24-hour urine collection. The critical action is ensuring that the first void is discarded to properly begin timing the collection period.
C. Instruct the client to discard the first voided specimen: The first void is discarded to ensure the collection accurately measures substances excreted during the full 24-hour period. Timing officially starts after discarding the initial urine, and every subsequent void must be collected.
D. Insert an indwelling urinary catheter: Inserting an indwelling catheter is unnecessary unless the client is unable to void independently. Most 24-hour urine collections are performed using normal voiding and collection into a clean container.
Correct Answer is B
Explanation
A. When the pain interferes with activities of daily living: Waiting until pain affects daily functioning may cause unnecessary suffering and make pain harder to control. Postoperative pain management aims to address discomfort early before it escalates to a level that impairs normal activity.
B. As soon as the client begins to feel pain: Asking for pain medication at the onset of pain allows for more effective management. Treating pain early prevents the development of severe pain, enhances comfort, and often requires lower doses of medication compared to managing severe pain later.
C. When the client can no longer move comfortably: Delaying pain management until mobility is significantly impaired increases the risk of complications such as immobility, poor wound healing, and longer hospital stays. Early intervention is crucial for better outcomes.
D. Once the pain gets to a moderate level: Allowing pain to reach a moderate intensity before requesting medication can make it more difficult to control. It is better to preemptively manage pain to prevent escalation, leading to faster recovery and improved participation in rehabilitation activities.
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