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. Breast pads wet with breast milk from a postpartum client with mastitis: Although mastitis involves infection, breast milk is not classified as a biohazard unless visibly contaminated with blood. Breast pads wet only with milk would typically be discarded in regular waste, not biohazard containers.
B. Straight urinary catheter tray used to collect a urine specimen for culture: The tray may have biological material but is not heavily saturated with blood or other highly infectious fluids. Urine alone, unless grossly bloody, does not typically require disposal in a biohazard container.
C. Urine soiled disposable bed pads for a client with hepatitis C: Even though the client has hepatitis C, urine is generally not considered a high-risk fluid for transmission of bloodborne pathogens unless visibly contaminated with blood. These pads would be disposed of in regular medical waste.
D. Postoperative dressing that is saturated with bright red blood: A dressing heavily saturated with blood must be placed in a biohazard container because blood is classified as a potentially infectious material. Proper disposal prevents exposure to bloodborne pathogens and meets infection control standards.
Correct Answer is B
Explanation
A. Extend thumb at a right angle during gloving: Positioning the thumb may help with glove placement but does not directly maintain surgical asepsis. The focus of aseptic technique is keeping gloves sterile, not thumb positioning during the process.
B. Keep gloved hands in sight above waist level: Keeping hands in sight and above waist level is essential for maintaining surgical asepsis. Anything below waist level is considered contaminated, and visibility ensures that sterility is not compromised during procedures.
C. Touch cuff fold only while applying second glove: Touching the cuff is appropriate when donning the second glove, but maintaining hand position above waist level is a broader and ongoing requirement to uphold sterile technique throughout the procedure.
D. Apply a mask once both hands are gloved: Masks should already be in place before starting the sterile gloving procedure. Waiting to apply a mask after donning sterile gloves risks contaminating the gloves and breaking sterile technique.
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