Assisting the health care team to prepare a terminal cancer nursing care plan includes which of the following?
1. Assessment of hyponatremia, hypotension, or cough, all of which must be allevi-ated by appropriate medications before treatments can begin
2. Preplanning, which includes acceptance by the nurse that it is the patient who is dying (nurse's personal feelings about death are not considered)
3. Acceptance that late-stage cancer needs management of severe continual pain, and acceptance of anxieties related to patient's physical deterioration and to per-sonal grieving
4. Helping the patient or family to contact the social worker (no use at this point)
3
Pain and anxiety management are within the expected scope of underlying principles and concepts as nursing implementations for terminal cancer patients.
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An older patient who was just diagnosed with a terminal disease states, "All my life I attended church, but I am still worried about what will happen after death." The nurse's best response is which of the following?
a. "The unknown may be frightening. Do you want to talk about this?" b. "Religious people know that God is a good God." c. "People that have had near death expe-riences say it is peaceful." d. "You must feel good about attending church most of your life."
The nurse recognizes that the _______ reading in an arterial gas report indicates the amount of oxygen dissolved in the plasma
ANS:
The nurse is caring for a client requiring mechanical ventilation who is deeply sedated and receiving paralytic medications. Which nursing intervention would assist the client to optimize oxygenation?
1. Hyperventilating the client once an hour 2. Hyperoxygenating the client once an hour 3. Encouraging coughing and deep breathing 4. Frequent repositioning
Which instructions are most important to include in a teaching plan for a client in early pregnancy that has class I heart disease?
a. She must report any nausea or vomiting. b. She may experience mild fatigue in early pregnancy. c. She must report any chest discomfort or productive cough. d. She should plan to increase her daily exercise gradually throughout pregnancy.