The nurse is caring for an older adult client who is very thin and emaciated. The client reports new onset of shortness of breath. A chest x-ray reveals a spot on the lungs that the physician believes is an inoperable lung cancer
Due to the client's poor nutritional status, chemotherapy is not an option. The health care provider also believes that the location of the cancer would make radiation therapy unsuccessful. In advocating for this client, what should the nurse encourage the healthcare team to do?
A) Provide palliative care to keep the client comfortable without diagnostic testing.
B) Perform any procedure necessary to diagnose the client properly.
C) Promote the use of blood tests to diagnose the suspected cancer.
D) Determine the client's and family's wishes regarding diagnostic testing.
Answer: D
An older adult emaciated client may have few options for treatment of cancer, if confirmed. The best course of treatment may be palliative care, but it is the choice of the client and family that should direct the plan of care and choices of diagnostic testing.
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The nurse lists the clinical signs of death for the client who is not on artificial life support, including: Standard Text: Select all that apply
1. Cessation of apical pulse. 2. Cessation of respirations. 3. Cessation of blood pressure. 4. Total lack of response to external stimuli. 5. Absence of electric currents from the brain.
As a member of the budgeting committee, the nurse manager reviews the salaries for file clerks in the accounting department. These salaries should be included in which budget item?
1. The fixed cost 2. The variable cost 3. The indirect cost 4. The direct cost
A 48-year-old patient has been diagnosed with trigeminal neuralgia following recent episodes of unilateral face pain. The nurse should recognize what implication of this diagnosis?
A) The patient will likely require lifelong treatment with anticholinergic medications. B) The patient has a disproportionate risk of developing myasthenia gravis later in life. C) The patient needs to be assessed for MS. D) The disease is self-limiting and the patient will achieve pain relief over time.
A patient is brought to the emergency department in a panicked state and complains of seeing abnormalities of his body, such as grotesque limbs
The nurse suspects LSD toxicity and should prepare to administer which of the following medications? a. Bromocriptine (Parlodel) b. Diazepam (Valium) c. Haloperidol (Haldol) d. Naloxone (Narcan)