PN3 Test 1 Cancer/Dying

PN3 Test 1 Cancer/Dying 11/12/2019 1. A terminally ill client is experiencing restlessness. Which interventions can the nurse provide to comfort the client? Administer pain medications, reposition the client control symptoms of distress 2. While collecting a health history on a client admitted for colon cancer, which of the following questions would be a priority to ask the client? -Have you noticed any blood in your stool? 3. A hospitalized client who has a living will that states he does not want aggressive life-saving therapy, is being fed through an NG tube during a bolus feeding, the client vomits and begins to choke. Which action is most appropriate for the nurse to take? 4. During the period of time when a client diagnosed with a terminal illness became comatose, a health care proxy made decision about the clients care. When the client regains consciousness a few days later, the nurse consults whom regarding the clients ongoing care decisions? The client 5. A patient on a medical surgical unit has a platelet count of 90,000 per mm3. The nurse knows to include which of the following precautions in the discharge instructions? BLEEDING PRECAUTIONS Use a soft bristle tooth brush (because of thrombocytopenia) 6. The nurse cares for a terminally ill client who is experiencing Cheyne-stoke respirations. Which actions y the nurse will be most appropriate? Turn the patient to the side or slightly raise head of bed. There is no need for supplemental oxygen or suctioning, assess LOC and ability to speak also assess for distress Documenting as cheyne stoke was not the right answer. Cheyne-stoke respirations are characterized by periods of apnea alternating with deep and rapid breaths and are expected in the last few days of life. 7. The nurse is developing a plan of care for the client experiencing neutropenia secondary to chemotherapy. The nurse plans to: Assess for fever, administer pegfilgrastim (Neulasta) No fresh flowers or plants No fresh fruits and veggies to the client PATIENT IS AT RISK FOR INFECTION 2,000 and under is Neutropenia 8. A client is preparing for surgery and may not take any medications which will increase bleeding time. The nurse reviews the client list of over the counter medications and instructs him to stop taking which of the following? NSAIDS, Aspirin, Celerex, Coumadin, Warafin, ginko, garlic, ginseng, ginger, FEVERFEW, ST JOHNS WART 9. A client is experiencing dyspnea in their last moments of life. Which intervention will the nurse provide? Oxygen, medications like morphine, a benzo for anxiety Also can use humor, imagery, and progressive relaxation If delirium happens with morphine switch to fentanyl 10. The nurse should incorporate which of the following into the plan of care as primary prevention strategy for reduction of the risk of cancer? Skin protection while at the beach