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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Insertion of central venous access: This is not relevant to compartment syndrome management. Central venous access is used for fluid administration or monitoring central venous pressure.
B. Phlebotomy: This is unrelated to the management of compartment syndrome, as it involves drawing blood and does not address the increased pressure.
C. Fasciotomy: Compartment syndrome is a medical emergency where increased pressure within a closed compartment compromises circulation and tissue function. A fasciotomy involves surgically opening the compartment to relieve the pressure, prevent tissue necrosis, and save the limb. This is the definitive treatment.
D. Insertion of arterial line: While this may be useful for monitoring blood pressure in critical situations, it does not relieve compartment syndrome.
Correct Answer is C
Explanation
A. Intermittent claudication and pallor: These symptoms are more indicative of peripheral vascular disease, not a myocardial infarction.
B. Jugular vein distention and dependent edema. These symptoms suggest right-sided heart failure or fluid overload, not myocardial infarction.
C. Diaphoresis and cool, clammy skin. Diaphoresis (sweating) and cool, clammy skin are common signs of myocardial infarction due to the body's response to pain and decreased cardiac output.
D. Mid-epigastric pain and heartburn. While heartburn can mimic some symptoms of a heart attack, mid-epigastric pain and heartburn are more likely to be related to gastrointestinal issues rather than myocardial infarction.
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