The wife of a client who has been diagnosed with a terminal illness asks the nurse about the differences between palliative care and hospice care. Which information would the nurse most likely include in the response?
a. Hospice care differs from palliative care in its foundational philosophy.
b. Hospice provides physical and psychological support; palliative care provides social and spiritual support.
c. Hospice care is provided for clients who have 6 months or less to live; palliative care is provided at any time during illness.
d. Hospice care focuses on quality of life while palliative care focuses on length of life.
Answer: c. Hospice care is provided for clients who have 6 months or less to live; palliative care is provided at any time during illness.
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A home health nurse has thoroughly evaluated the home environment of a patient who will continue receiving a narcotic analgesic at home after discharge from the hospital. The nurse should be concerned if there is
A) a lack of air conditioning in the home. B) a lack of cleanliness in the kitchen. C) a loose rug on the floor. D) no washer or dryer.
An older patient smoked tobacco most of the adult life. When planning health promotion education for this patient, the nurse includes information that such smoking
a. may produce alterations in the immune response. b. is a risk factor for community-acquired pneumonia. c. decreases the production of an immunog-lobulin called IgA. d. increases the risk of gastric cancer.
The nurse is caring for a client who is prescribed to have labor induced with oxytocin. Which assessments must be completed by the nurse before initiating the oxytocin infusion? Select all that apply.
A. Record the fetal heart rate for 15 minutes. B. Obtain the client's pain level. C. Explain to the client that she should expect to be nauseated. D. Determine the client's hydration status. E. Apply the tocodynamometer and observe for any contractions.
When does discharge planning for a patient begin?
A. At the time of admission B. When the patient discusses discharge concerns C. The day before discharge D. The day of discharge