A 25-year-old female patient with brain metastases is considering her life expectancy after her most recent meeting with her oncologist
Based on the fact that the patient is not receiving treatment for her brain metastases, what is the nurse's most appropriate action?
A) Promoting the patient's functional status and ADLs
B) Ensuring that the patient receives adequate palliative care
C) Ensuring that the family does not tell the patient that her condition is terminal
D) Promoting adherence to the prescribed medication regimen
Ans: B
Feedback:
Patients with intracerebral metastases who are not treated have a steady downhill course with a limited survival time, whereas those who are treated may survive for slightly longer periods, but for most cure is not possible. Palliative care is thus necessary. This is a priority over promotion of function and the family should not normally withhold information from the patient. Adherence to medications such as analgesics is important, but palliative care is a high priority.
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