Palliative care is delivered by an interprofessional team. What role will each of the following professionals play in P.C.'s care?
What will be an ideal response?
Pharmacist: Advises on medications, teaches how to take the medications and what to do if there
are side effects, helps set up medication schedules, and provides ongoing monitoring of all
medications.
Dietitian: Does a nutrition assessment, teaches about diet, helps her make choices about food and
diet supplements, and helps with such symptoms as problems swallowing, poor appetite, nausea,
vomiting, and constipation.
Social worker: Counsels P.C. and her family and assists with financial resources. The social worker
helps by setting up family meetings to discuss goals, making referrals to community services, and
helping cope with loss and grief.
Chaplain: The chaplain helps the person reflect on faith and matters of faith such as prayer and
ritual, networks with community faith groups, and support in the planning of memorial or funeral
services.
Physical Therapist: Helps with positioning, including reducing pressure on sensitive areas; assists
with pain relief, including transcutaneous electrical nerve stimulation (TENS), heat and cold, and
massage; provides chest physiotherapy and exercises; and provides education on how to move
someone and position them in bed or a chair.
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When monitoring a patient for the most common side effect of oral antihistamines, the nurse would assess the patient's:
a. heart rate and rhythm. b. alertness. c. respiratory rate. d. bowel sounds.
A 22-year-old male arrives at the ED following a motor vehicle collision. He is not awake and is being bagged with a bag-valve-mask by paramedics
He has sustained obvious injuries to his head and face as well as an open right femur fracture that is bleeding profusely. What should the nurse's initial intervention be? A. Splint the right lower extremity to decrease blood loss. B. Apply direct pressure to the open area on the right leg. C. Assess for a patent airway. D. Start two large-bore intravenous lines.
When a patient has contact dermatitis, wet dressings with Domeboro solution are used for:
1. Cleaning the weeping area of dermatitis 2. Bathing the patient to prevent infection 3. Relief of inflammation 4. Providing a barrier layer to protect the surrounding skin
A legal secretary 25 years of age is seeking counseling because she recently lost her job unexpectedly. Which question would be most appropriate for a nurse to use in assessing the client's response to losing her job?
A) "What happened to cause you to lose your job?" B) "How did you feel immediately after being told you no longer had a job?" C) "How do you expect yourself to be able to handle this situation?" D) "How have you responded to previous stressful situations?"