A patient has exhausted all possible treatments to arrest or cure their illness and is not expected to live for longer than 6 months. The nurse determines that this is the appropriate time to arrange for ____________________ care for the patient
Fill in the blank with correct word.
ANS:
hospice
The appropriate time for hospice care is when the patient is no longer seeking treatment to arrest or cure the disease and is expected to live for 6 months or fewer. The patient is treated with medications and other measures to relieve pain and remain comfortable.
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What type of vaginitis best describes her findings?
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling vaginal discharge with some mild itching, present for about 3 weeks. She tried douching but it did not help. She has had no pain with urination or with sexual intercourse. She has noticed the smell increased after intercourse and during her period last week. She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past medical history consists of one spontaneous vaginal delivery. She is married and has one child. She denies tobacco, alcohol, or drug use. Her mother has high blood pressure and her father died from a heart disease. On examination she appears healthy and has unremarkable vital signs. On examination of the perineum there are no lesions noted. On palpation of the inguinal nodes there is no lymphadenopathy. On speculum examination a thin gray-white discharge is seen in the vault. The pH of the discharge is over 4.5 and there is a fishy odor when potassium hydroxide (KOH) is applied to the vaginal secretions on the slide. Wet prep shows epithelial cells with stippled borders (clue cells). A) Trichomonas vaginitis B) Candida vaginitis C) Bacterial vaginosis D) Atrophic vaginitis
A resident with dementia urinates in plants and the trash can. You can do which of the following?
a. Ask the person to signal you when she needs to void. b. Observe for signs that the person needs to void. c. Insert an indwelling catheter. d. Ask the resident to tell you when she is incontinent.
An older adult patient with severe gastroesophageal reflux disease (GERD) has had only minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole (Prilosec). What will the nurse teach this patient?
a. A complete cure is expected with this medication. b. Lifestyle changes can be as effective as medication therapy. c. Long-term therapy may be needed. d. The medication will be used until surgery can be performed.
Nina is diagnosed with the most common form of cancer among women, and Patrick is diagnosed with the most common form of cancer among men. Nina is MOST likely diagnosed with _____ cancer, and Patrick is MOST likely diagnosed with _____ cancer.
Fill in the blank(s) with the appropriate word(s).