The nurse is caring for a client who is terminally ill and is being transferred to hospice at home. What would the nurse identify as the primary factor in planning the client's care in the home?

Client preferences

Home environment

Socioeconomic status

Family preferences

Answer and Explanation

The Correct Answer is A

A. Client preferences. In hospice care, the client's preferences are the most important factor in planning care. This includes their choices for comfort, treatments, and living arrangements during the end-of-life process.

B. Home environment. While the home environment is important, the client’s wishes and preferences should take precedence in planning their care.

C. Socioeconomic status. Socioeconomic status is not as crucial as the client’s preferences and values in planning hospice care.

D. Family preferences. While family preferences may play a role, the primary focus in hospice care is the client’s wishes for their end-of-life care.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Facilitates the insertion of a pacemaker: This is not the purpose of an electrophysiology study (EPS). A pacemaker may be considered based on the results, but EPS itself does not insert the device.

B. Assesses the function of the SA node: EPS is used to assess the electrical activity of the heart, including the function of the SA node.

C. Evaluates the effectiveness of prescribed antiarrhythmic medication: EPS can help evaluate how well antiarrhythmic medications are controlling arrhythmias.

D. Identifies the location of abnormal sites within cardiac muscle: EPS is often used to locate areas of the heart responsible for abnormal electrical conduction and arrhythmias.

E. Treats certain arrhythmias through the process of ablation: One of the therapeutic purposes of EPS is to perform ablation, which can treat certain arrhythmias by destroying abnormal tissue.

A. Morphine B. Lactated Ringers C. Selected Medications D. Dexamethasone E. Mannitol F. Hypertonic saline G. Furosemide

Correct Answer is ["D","E","F","G"]

Explanation

A. Morphine is typically used for pain relief, but it is not used to reduce cerebral edema.

B. Lactated Ringers is a balanced electrolyte solution, but it does not address the need for reducing cerebral edema.

D. Dexamethasone is a corticosteroid used to reduce inflammation and cerebral edema in cases of brain injury.

E. Mannitol is an osmotic diuretic used to reduce cerebral edema by drawing fluid out of the brain and into the bloodstream.

F. Hypertonic saline is used to increase serum osmolality, helping to pull water out of the brain and reduce edema.

G. Furosemide is a loop diuretic that can also help reduce cerebral edema by promoting diuresis.

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The nurse is caring for a client who is terminally ill and is being transferred to hospice at home. What would the nurse identify as the primary factor in planning the client's care in the home?

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