The daughter of a client with terminal brain cancer wants a feeding tube placed so that the client will have nutrition to be cured of the disease. Which response should the nurse make to this daughter?
a. "What does your father want?"
b. "If your father is hungry he will find a way to eat without a stomach tube."
c. "Intravenous fluid contains enough nutrients to meet his nutritional needs."
d. "Palliative nutrition is focused on relieving discomfort and symptoms rather than cure."
d. "Palliative nutrition is focused on relieving discomfort and symptoms rather than cure."
The goal of palliative nutrition is to relive symptoms and prevent discomfort. Decisions made by a health-care proxy should support the client's autonomy. Loss of appetite is common in clients who are terminally ill. A liter of intravenous fluid (D5W) only contains about 170 calories and will not meet daily nutritional requirements.
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When a patient is given a vaccination for rubella, the nurse anticipates that the healthy patient will develop:
A) Natural immunity B) Active acquired immunity C) The disease rubella D) Hypersensitivity
After the anesthesiologist inserts the anesthetic agent into the patient's spinal column, the nurse assists the patient into a supine position with the neck flexed. What is the rationale for the nurse's action?
1. This position allows for better monitoring of the patient's blood pressure and pulse. 2. Positioning can help the anesthetic agent reach the appropriate level in the spinal column. 3. This position helps to ensure the patient's cardiac function will not be affected by the anesthesia. 4. The patient will be able to breathe more easily in this position.
The nurse is caring for an older patient who had a urinary catheter inserted after a TURP. The patient is intermittently confused, and picks at the IV tubing and catheter. What should the nurse try first?
A. Obtain an order to restrain the patient's hands and forearms B. Sedate the patient until the IV tube and catheter can be removed C. Inform the family that a family member will have to sit by the patient D. Give the patient a familiar object to hold, such as a family picture
A patient is demonstrating symptoms of dehydration and excessive urination. Which hormone should the nurse suspect is causing this patient's symptoms?
A. Follicle-stimulating hormone (FSH) B. Antidiuretic hormone (ADH) C. Adrenocorticotropic hormone (ACTH) D. Thyroid-stimulating hormone (TSH)