The nurse is caring for an older patient who is receiving palliative care. Which intervention is the highest priority for this patient?
1. Invasive testing
2. Pain management
3. Aggressive chemotherapy
4. Aggressive invasive surgery
2
Rationale: Palliative care improves the quality of life of older adults and their families when facing the problems associated with life-threatening illness. This is achieved through prevention and relief from suffering, early identification, impeccable assessment, and treatment of pain. Invasive testing is not an intervention typically associated with palliative care.
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The nurse is providing care to clients on a medical-surgical unit. Which independent nursing interventions are appropriate for a client who is experiencing an alteration in oxygenation?
Select all that apply. A) Encouraging deep breathing exercises B) Assisting with positioning C) Providing suctioning D) Prescribing bronchodilators E) Monitoring activity intolerance
The nurse is providing postoperative care for a 14-month-old girl who has undergone a myelomeningocele repair. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home
Which response by the nurse would be most appropriate? A) "I will help you become comfortable in caring for your daughter.". B) "You must learn how to care for your daughter at home.". C) "You will need to learn to collaborate with all the caregivers.". D) "There is a lot to learn, and you need a positive attitude.".
A patient tells a nurse, "I belong to a health maintenance organization (HMO) that advertises being a capitated system. What does that mean?" The nurse replies:
a. "It's complicated but if you like I'll have the payments office discuss it with you.". b. "You pay a sliding fee for each illness based on your monthly take-home income.". c. "You pay a fixed fee per month while the HMO provides all medically necessary care.". d. "The HMO pays your physician a flat fee for a particular episode of illness regardless of the number of office visits you make.".
A nurse conducting a keyword search of a literature database enters the search terms "anorexia NOT bulimia" to obtain what result?
a. All articles that discuss either anorexia or bulimia b. Articles that discuss both anorexia and bulimia c. Articles that discuss anorexia only d. Articles that discuss bulimia only