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What action should the hospice nurse take when discussing end
of life care with
a patient's
family?
A. Encourage the family to maintain hope for a possible cure
for the disease
B. Tell the family to discuss their feeling with the
healthcare provider
C. Provide a detailed description of all
treatment options
D. Realistically discuss the patient's status and probable course
of the disease -
ANSWER-
D
The family of an elderly hospice patient near death only sips
minimal amount of water. The family is concerned about
dehydration. What is the best response by the nurse?
A. Dehydration and discomfort can be eliminated by the
addition of intravenous fluids
B. Your loved one may be more uncomfortable of extra fluids
are forced
,C. You can force additional fluids to increase comfort and
reduce oral dryness D. A feeding tube is an option used to
increase survival and improve outcomes.
- ANSWER-B
An older man whose spouse died the provious year
states, "Life is not fun anymore." What is the best
response by the nurse? A. Are you experiencing any
difficulty sleeping or eating?
B. Tell me about your support network, such as friends or
family
C. You might feel better if you visit friends or relatives
D. What activities did you use to do with your wife? - ANSWER-
b
When the nurse is establishing the individual plan of care for
the dying patient,
what is the priority
action?
A. Explaining the life-saving potential of new
treatments
B. Initiating discussion with the patient and
family members
C. Telling the patient and family that they have
nothing to fear
D. Discussing the importance of adhering to a strict
routine. - ANSWER-B
, An elderly patient with terminal cancer is receiving ling acting
morphine orally.
The patient grimaces, moans, and sleeps only in short
intervals. Vital signs are: BP 148/94, Pulse 108, RR 32. What
acting should the nurse take?
A. Contact the primary care provider for additional pain
medication
B. Respiration are within normal limits. No action is needed.
C. Ad long as the patient is sleeping for short persons, let the
patient sleep
D. Apply oxygen via nasal cannula at 2 L/min and reassess in
one hour -
ANSWER-A
A patient who is actively dying is experiencing shortness of
breath and air hunger. All of these interventions are ordered
as pen measures. Which actions should the nurse perform
first? A. Administer sublingual morphine
B. Administer oral anti-anxiety agents
C. Administer a nebulized bronchodilator
D. Administer an oral expectorant - ANSWER-A
A terminally ill patient is unresponsive and has Cheyne-Strokes
respiration. The patient's husband and two grown children are
arguing at the bedside about where the funeral should be held.
Which action by the nurse is appropriate? A. Instruct the family
members to ask the patient's opinion if she regains
consciousness.