A patient with an inoperable brain tumor has been told he is terminal. A referral is made to Home Health. The Home Health Nurse is making a care plan for this patient. What do home care needs and interventions focus on in the terminal patient?
A) Assessing cognitive status
B) Improving nutritional status
C) Promoting mobility
D) Assistance in self-care
Ans: D
Feedback: Home care needs and interventions focus on four major areas: palliation of symptoms and pain control, assistance in self-care, control of treatment complications, and administration of specific forms of treatment, such as parenteral nutrition. Assessing cognitive status is not a focus of home care, although it is documented at each visit. Improving nutritional status is a focus with cancer patients who are not terminal. Promoting mobility is not a focus of home care for this patient.
You might also like to view...
The client who is self-injecting insulin was advised by the nurse to rotate injection sites because:
1. it reduces the danger of nerve damage and decreases absorption. 2. it reduces the chance of infection and increases absorption. 3. insulin can reach all parts of the body and be used more efficiently. 4. it reduces irritation to the tissues and increases absorption.
A pregnant patient wants to use an alternative birthing center for the birth of her baby. Which information should the nurse provide the patient regarding this birthing approach?
A) Birth is viewed as a wellness event. B) There are no physicians in attendance. C) Breastfeeding is not encouraged or supported. D) A birthing center has no advantages over a home birth.
Which of the following statements best describes the effects of positive-pressure ventilation on cardiac output?
a. Positive-pressure ventilation increases intrathoracic pressure, which increases venous return and cardiac output. b. Positive-pressure ventilation decreases venous return, which increases preload and cardiac output. c. Positive-pressure ventilation increases venous return, which decreases preload and cardiac output. d. Positive-pressure ventilation increases intrathoracic pressure, which decreases venous return and cardiac output.
The client has a tracheostomy secondary to head and neck surgery. The nurse monitors the client for complications related to the absence of which important protective mechanism?
A) Filtration and humidification of inspired air B) Decrease in oxygen-carrying capacity of the trachea C) The sneeze reflex initiated by irritants in the nasal passages D) The ability to cough