The family caring for an older adult in their home feels that they need assistance from a hospice service. What is necessary for hospice service to be initiated?

a. A family request
b. A patient request
c. Medical certification
d. A referral by a hospice nurse


ANS: C
Hospice agencies provide care at the end of life. Medical certification is required for terminal care.

Nursing

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You are assessing an older adult patient post-myocardial infarction. You attempt to identify your patient's health patterns and to assess if these health patterns are achieving the patient's goals

How should you best respond if it is found that the patient's health patterns are not achieving their goals? A) Seek ways to promote balance in the patient. B) Refer the patient to social work. C) Identify alternative models of health care. D) Provide insight into the patient's physiological failings.

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During the reproductive system health history, a patient tells the nurse about having excessive menstrual flow. The nurse would document this information as:

A) Metrorrhagia B) Oligomenorrhea C) Polymenorrhea D) Menorrhagia

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The nurse is selecting a site to begin an intravenous infusion on a 2-year-old child. The superficial veins on his hand and arm are not readily visible. What intervention should increase the visibility of these veins?

a. Gently tap over the site. b. Apply a cold compress to the site. c. Raise the extremity above the level of the body. d. Use a rubber band as a tourniquet for 5 minutes.

Nursing

Which instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?

a. Take a daily multivitamin with iron. b. Limit fluids to 2 to 3 quarts per day. c. Avoid exposure to crowds when possible. d. Drink only two caffeinated beverages daily.

Nursing