The nurse is preparing a client with liver cancer for end of life. The nurse knows the goal of treatment in this case is to:
1. Make the client as comfortable as possible.
2. Provide as much medication as possible.
3. Teach the client how to manage the illness.
4. Understand the family's wishes.
Make the client as comfortable as possible.
Rationale: The goal for the end of life is to make the client with end-stage liver disease as comfortable as possible. Providing medication, teaching the client how to manage the illness, and understanding the family's wishes are not applicable.
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Calculate the fluid intake in milliliters (mL) for the following food items. (Assume a soup bowl holds 6 oz, a Jell-O cup holds 5 oz, and a glass holds 8 oz.)
1 bowl tomato soup 1 lime Jell-O cup 1/4 quart iced tea 1/2 glass water TOTAL = _____ mL a. 700 b. 454 c. 370 d. 550
The nurse plans a fall prevention program for a confused patient. Which task from the program is suitable for the nurse to delegate to nursing assistive personnel (NAP)?
a. Evaluating patient understanding of fall prevention plan b. Keeping the patient's bed in the low posi-tion at all times c. Assessing the patient's circulatory and respiratory status d. Instructing the patient's family about al-ternatives to restraints
Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes:
1. It is okay to double the dose of Vicodin if the pain is severe. 2. Vicodin is not habit-forming. 3. He should not take any other acetaminophen-containing medications. 4. Vicodin may cause diarrhea; increase his fluid intake.
When attempting to locate the spleen, the nurse should percuss over the 9th to the 11th ribs at the midaxillary line
A) True B) False