The nurse is using the Karnofsky Performance Scale to determine the performance status of a client in palliative care with end-stage lung cancer. With a score of 50, what activity level should the nurse anticipate?

A) Performs activities of daily living independently
B) Requires occasional assistance with activities of daily living
C) Requires considerable assistance with activities of daily living
D) Needs total assistance


C) Requires considerable assistance with activities of daily living

Explanation: A) The client with a score of 50 on the Karnofsky Performance Status Scale requires considerable assistance and frequent medical care.
B) The client with a score of 50 on the Karnofsky Performance Status Scale requires considerable assistance and frequent medical care.
C) The client with a score of 50 on the Karnofsky Performance Status Scale requires considerable assistance and frequent medical care.
D) The client with a score of 50 on the Karnofsky Performance Status Scale requires considerable assistance and frequent medical care.

Nursing

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A patient newly diagnosed with breast cancer tells the nurse, "I'm worried I won't survive to see my children grow up." Which response by the nurse best conveys concern and active listening?

1) "There have been many advances in breast cancer treatment; hope for the best." 2) "Breast cancer is a serious disease; I can understand why you're worried." 3) "You're strong and have youth on your side to fight the breast cancer." 4) "I'd be worried too; I've seen a lot of patients die from breast cancer."

Nursing

The patient is recovering from a delivery that included a midline episiotomy. Her perineum is swollen and sore. Ten minutes after an ice pack is applied, the patient asks for another. The best response from the nurse is:

1. "I'll get you one right away." 2. "You only need to use one ice pack." 3. "You need to leave it off for at least 20 minutes and then reapply." 4. "I'll bring you an extra so that you can change it when you are ready."

Nursing

The nurse is caring for a client undergoing chemotherapy. Which of the following is typically affected in clients receiving radiation or chemotherapy and places them at increased risk of anemia, bleeding, and infection?

A) Mucous membranes B) Skin integrity C) Lung function D) Bone marrow

Nursing

Which situations qualify as abandonment on the part of a nurse? (Select all that apply.) The nurse:

a. allows a patient with acute mania to refuse hospitalization without taking further action. b. terminates employment without referring a seriously mentally ill for aftercare. c. calls police to bring a suicidal patient to the hospital after a suicide attempt. d. refers a patient with persistent paranoid schizophrenia to community treatment. e. asks another nurse to provide a patient's care because of concerns about countertransference.

Nursing