The medical team has proposed a new therapy for a patient who is terminally ill
The nurse should ensure that the patient and family understand which aspects of the therapy before they make a decision about its implementation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The goals of the treatment
2. The likelihood that the goals of therapy will be met
3. The treatment burden
4. Predicted quality of life after the treatment
5. Implications for the health care community
1,2,3,4
Rationale 1: The patient and family should understand how the treatment is expected to benefit the patient.
Rationale 2: The patient and family should understand how the patient's current condition affects the implementation of the therapy and the achievement of therapy goals.
Rationale 3: The patient and family should understand the physical and psychological costs of the treatment.
Rationale 4: The patient and family should consider the predicted quality of life so they can decide if the treatment is worthwhile.
Rationale 5: Agreeing to a new therapy to add to the health care community's knowledge base would be altruistic, but the implications are not the primary information needed by this patient and family.
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With regard to the association of maternal diabetes and other risk situations affecting mother and fetus, nurses should be aware that:
a. Diabetic ketoacidosis (DKA) can lead to fetal death at any time during pregnan-cy. b. Hydramnios occurs approximately twice as often in diabetic pregnancies. c. Infections occur about as often and are considered about as serious in diabetic and nondiabetic pregnancies. d. Even mild-to-moderate hypoglycemic episodes can have significant effects on fetal well-being.
A client expresses concern that health care coverage based on capitation may have negative side effects. Which of the following would most likely be a consequence of capitation?
a. Coercing clients to attend health promotion education classes b. Encouraging clients to seek care elsewhere c. Increasing the number of interventions to maximize payment d. Neglecting to order certain tests or treatment to minimize cost to the provider
While writing a care plan for a patient newly diagnosed with generalized seizures, the nurse might appropriately choose what nursing diagnosis?
A) Risk for injury related to gastrointestinal (GI) effects B) Disturbed thought processes related to central nervous system effects C) Monitor complete blood count (CBC) before and periodically during therapy. D) Offer support and encouragement.
The nurse plans a class about Alzheimer disease for a caregiver support group. Which should the nurse include when teaching this class of caregivers?
Select all that apply. A) Glutamatergic inhibitors are the most common class of drugs for treating Alzheimer disease. B) Alzheimer disease accounts for about 70% of all dementias. C) Chronic inflammation of the brain may be a cause of the disease. D) Depression and aggressive behavior are common with the disease. E) Memory difficulties are an early symptom of the disease.