The hospice nurse is teaching the family of a client receiving palliative care at home how to provide care. Which instruction should the nurse provide?
Report any change in urine color.
Maintain in high Fowler's position.
Keep mucous membranes moist.
Record the client's daily weights.
The Correct Answer is C
Choice A reason: Reporting any change in urine color is important but not specific to the provision of palliative care at home.
Choice B reason: Maintaining in high Fowler's position is not always necessary and may not be comfortable for all clients, especially in a palliative care setting.
Choice C reason: Keeping mucous membranes moist helps prevent discomfort and is a key part of providing compassionate end-of-life care.
Choice D reason: Recording the client's daily weights is less relevant in palliative care, where the focus is on comfort rather than ongoing medical assessments.
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Correct Answer is D
Explanation
Choice A reason: Application of heat and cold therapy can help manage symptoms but does not encompass the broader aspects of health promotion and teaching.
Choice B reason: Avoidance of foods containing purine is more specific to conditions like gout rather than rheumatoid arthritis, and while diet is important, it does not fully represent health promotion and teaching.
Choice C reason: Immobilization of affected joints is not a health promotion strategy and can actually worsen symptoms over time. Active and passive range-of-motion exercises are recommended instead.
Choice D reason: Prevention through nutrition and exercise is the most comprehensive approach that aligns with health promotion and teaching for clients with rheumatoid arthritis. It includes educating clients on a balanced diet and physical activity to manage symptoms and improve overall health.
Correct Answer is B
Explanation
Choice A reason: While the fall is important, it is not the most immediate concern for the healthcare provider in the context of SBAR communication.
Choice B reason: Increasing confusion can indicate a change in the client's condition and may require immediate intervention, making it the priority in SBAR communication.
Choice C reason: The client's healthcare power of attorney is important for legal and consent purposes but is not the first piece of information to provide in an SBAR report.
Choice D reason: Currently prescribed medications are part of the background information and would follow after the immediate situation has been described.
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