Complete Solutions
A family is asking why their father with end-stage
COPD is being referred to hospice care. The best
response from the nurse would be:
A. Hospice care provides complete pain control
B. Hospice assists the family and patient to prepare
for death
C. Hospice will follow the patient's choice for "DNR"
status
D. Hospice is provided in the home and will allow
the family to be involved in the decisions for care
Correct Answers B
A nurse is teaching a client about the rationale for
administering allopurinol with chemotherapy.
Which example would be the best teaching by the
nurse? Correct Answers It lowers serum and uric
acid levels.
Advanced Directives Correct Answers -are written
documents that allow competent people to
document their preferences regarding
-Use or abatement of medical treatment at the end
of life
-Specify their preferred setting for care
-Communicate other valuable insights into their
values and beliefs
,after death care Correct Answers -Determination
is made through a physical examination that
includes auscultation for the absence of breathing
and heart sounds
-Family is allowed & encouraged to spend time
with deceased
-Privacy should be honored
-Cultural rituals allowed (bathing, prayer, wrapping,
etc.)
Antiemetic therapy Correct Answers -Ondansetron
(Zofran)
-Granisetron (Kytril)
-Granisetron transdermal (Sancuso)
-Dolasetron (Anzemet)
-Palonosetron (Aloxi)
Drug combinations are individualized for best
effect
-mix take Tylenol Benadryl then one of meds listed/
Zofran is standard/ kytril too
arrest and invasion Correct Answers Cancer cells
clump up in blood vessel walls and invade new
tissue areas. If the new tissue areas have the right
conditions to support continued growth of cancer
cells, new tumors (metastatic tumors) will form at
this site.
Barriers to Improving End-of-Life Care Correct
Answers -Physicians reluctance to refer to hospice:
,-Difficulties in making a terminal prognosis
(especially for those CLIENTS with noncancer
diagnoses)
-The strong association of hospice with death
-Advances in "curative" treatment options in late-
stage illness
-Financial pressures on health care providers that
may cause them to retain rather than refer
hospice-eligible CLIENTS
-physicians lose money don't want to discharge to
hospice
Benign cancer cells Correct Answers cells that are
not cancerous
Benign tumor characteristics Correct Answers -
remains localized and does not spread to distant
sites
-does not usually require intervention
-tissue name + "-oma"
Bereavement Correct Answers refers to the period
of time during which mourning for a loss takes
place
bereavement care Correct Answers Continuation
of care, usually up to 1 year, for the family after
loss of a loved one
-counseling
, Best way to receive chemo? Correct Answers picc
line or port (best)
Biggest symptom we see with radiation Correct
Answers fatigue
Blood vessel penetration Correct Answers Cancer
cells have broken off from the main tumor.
Enzymes on the surface of the tumor cells make
holes in the blood vessels, allowing cancer cells to
enter blood vessels and travel around the body.
bone biopsy Correct Answers -physician extracts a
specimen of the bone tissue for microscopic
examination; may confirm presence of infection or
neoplasm
-painful, extensive, 5-8 in needle, going through
layers hurts, bone doesn't hurt
Brachytherapy Correct Answers -Radioactive
seeds or sources are placed in or near the tumor
itself, giving a high radiation dose to the tumor
while reducing the radiation exposure in the
surrounding healthy tissues.
Cancer Correct Answers Disease process that
begins when a cell is transformed by genetic
mutation of cellular DNA