The nurse, caring for an elderly client recovering from a fractured coccyx, wants to discuss palliative care
The client becomes alarmed and asks "is there something you aren't telling me? Am I dying?" Which of the following should the nurse respond?
1. "We are all dying."
2. "It's an approach to care to help relieve pain and provide you with support."
3. "It's care provided to all elderly patients."
4. "Since it is covered by Medicare, you are entitled to it."
2
Palliative care is a process that focuses on relieving pain, enhancing psychosocial supports, and allowing clients and families to achieve meaningful resolution to their lives together. This is what the nurse should respond to the client. The other responses are either inappropriate for the nurse to make or are incorrect.
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Which of the following is an outcome of the drug memantine (Namenda) in clients with advanced stages of Alzheimer's disease?
A) Less depression B) Increased brain excitability C) Lessens symptoms D) Decreased brain excitability
A clientt is prescribed to receive a tube feeding of 600 mL ½ strength Ensure over 4 hours. The infusion set delivers 15 gtt/mL. How many drops per minute should the nurse set the tube feeding to provide to the client?
1. 24 gtt/mL 2. 38 gtt/mL 3. 43 gtt/mL 4. 51 gtt/mL
A patient who has been receiving intermittent chemotherapy through a peripheral IV site is ordered to receive a high dose of vancomycin through the same vein. Why does this concern the nurse?
a. Chemotherapy is irritating to the vascular system and may cause the vein to infiltrate. b. Two medications should never be placed into the same IV site. c. Once chemotherapy is in a patient's system, any additional medicine given will cause a synergistic effect. d. Chemotherapy treatments require a special pump designed solely for chemotherapy.
The intervention that a nurse and a planning group proposed was not accepted, primarily because of poor timing and lack of funds. Which of the following is helpful for the nurse to remember?
a. At least an effort was made to intervene. b. The situation will probably not get worse. c. The communities can function without the proposed program. d. There are always other options that might meet the same goals.