The nurse is providing education to a client and family on hospice. Which information should the nurse provide about hospice care?

"Hospice relies strictly on nonpharmaceutical measures to treat pain."

"The main goal of hospice is to ensure the client dies with dignity."

"Hospice assists the client and family in finding a cure."

"Hospice follows a naturopathic model of healing."

Answer and Explanation

The Correct Answer is B

A. Hospice care does not rely strictly on nonpharmaceutical measures. In fact, hospice emphasizes comprehensive pain and symptom management, including the use of medications such as opioids, antiemetics, and other pharmacologic therapies to ensure comfort and quality of life for the client. Limiting treatment to nonpharmaceutical measures would not align with standard hospice practices.

B. The primary goal of hospice is to ensure the client experiences a dignified, comfortable end-of-life experience while focusing on quality of life rather than curative treatment. Hospice provides physical, emotional, and spiritual support to both the client and family, addressing symptoms and promoting dignity in the final stages of life.

C. Hospice does not focus on curing the disease. Instead, it provides palliative care for clients with terminal illnesses when curative treatment is no longer the primary goal. Attempting to find a cure is contrary to the philosophy and eligibility criteria of hospice care.

D. Hospice care does not follow a naturopathic or alternative healing model exclusively. While some complementary therapies may be included to enhance comfort, hospice care is evidence-based and integrates both pharmacologic and nonpharmacologic approaches to symptom management rather than adhering to a strictly naturopathic approach.

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Correct Answer is A

Explanation

A. Avoiding stimulation of the breasts and wearing a supportive, tight-fitting bra is the most effective method for managing engorgement in a client who is not breastfeeding. Stimulation (including pumping or hand expression) can increase milk production, worsening engorgement. A firm bra provides support and comfort while reducing swelling and pressure.

B. Taking an analgesic and exposing breasts to air may provide temporary comfort, but exposing the breasts can actually worsen engorgement and stimulate milk production. This approach is not as effective as preventing stimulation and providing support.

C. Placing warm packs on the breasts is recommended for breastfeeding women to facilitate milk let-down and ease discomfort before feeding. In a bottle-feeding client, heat can increase blood flow and milk production, potentially worsening engorgement.

D. Expressing a small amount of breast milk by hand provides temporary relief, but in a client who is bottle feeding, it may stimulate further milk production and prolong engorgement.

A. The nurse manager should be updated on the client's status. B. The impending signs of death should be documented. C. The client's status should be conveyed to the chaplain. D. The client's need for pain medication should be determined.

Correct Answer is D

Explanation

A. Updating the nurse manager is important for overall care coordination, but it is not the immediate priority when a client is showing signs of imminent death. Administrative updates do not directly address the client’s comfort or symptom management.

B. Documenting signs of impending death is required for legal and professional purposes, but it is secondary to ensuring the client’s comfort. Documentation can be done after immediate needs are addressed.

C. Notifying the chaplain may provide spiritual support for the client and family, but this is not the priority nursing intervention. Spiritual care is important but should follow interventions that address physical comfort and symptom relief.

D. Determining the client’s need for pain medication is correct. When a client is nearing death, relief of pain and other distressing symptoms is the priority intervention. The nurse should assess for discomfort, anxiety, dyspnea, or other symptoms and administer prescribed medications to ensure a peaceful and comfortable passing, in accordance with palliative and end-of-life care standards.

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The nurse is providing education to a client and family on hospice. Which information should the nurse provide about hospice care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A postpartal client who is bottle feeding develops breast engorgement. Which is the best recommendation for the nurse to provide this client?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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