A client who has metastatic bone cancer tells the nurse, “I want to go home to die.” The client’s family is concerned about meeting the client’s care needs at home. Which of the following actions should the nurse take?
Discuss a referral to home health and hospice care with the client and family.
Contact the social worker to assist with nursing home placement.
Talk with the provider about extending the client’s hospital stay.
Instruct the family about meeting the client’s palliative care needs at home.
The Correct Answer is A
A. Discuss a referral to home health and hospice care with the client and family.
This is the correct answer. Discussing a referral to home health and hospice care addresses the client's expressed desire to go home and provides the necessary support and care for both the client and the family during this challenging time.
B. Contact the social worker to assist with nursing home placement.
This option may not align with the client's wish to go home. Nursing home placement may not be the preferred choice, especially when the client wants to spend their final days in a home setting.
C. Talk with the provider about extending the client’s hospital stay.
Prolonging the hospital stay may not meet the client's expressed wish to go home and may not provide the same level of comfort and support as home health and hospice care.
D. Instruct the family about meeting the client’s palliative care needs at home.
While providing information about meeting palliative care needs at home is important, it is more comprehensive to involve home health and hospice services, which can provide skilled care, emotional support, and assistance to the family in managing the client's care needs at home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “I will keep my baby’s head slightly elevated during the feeding.”
This statement is correct. Keeping the baby's head slightly elevated during feeding can help prevent ear infections (otitis media) and is a recommended practice.
B. “I will hold my baby close to me while feeding.”
Holding the baby close during feeding promotes bonding and is generally considered a good practice for both bottle-feeding and breastfeeding.
C. “Each feeding should last about 15 minutes.”
This statement indicates a need for further teaching. The duration of a feeding can vary among infants, and it's not advisable to put a strict time limit on each feeding. It's important to follow the baby's cues and allow for individual variations in feeding patterns.
D. “Propping a bottle can cause otitis media.”
This statement is correct. Propping a bottle can lead to ear infections (otitis media) and is not a safe or recommended practice. The baby should be held during feedings to prevent these issues.
Correct Answer is C
Explanation
A. "Skeletal traction has less risk for infection than skin traction."
This statement is not accurate. Both skeletal and skin traction carry some risk of infection, but the risk factors and considerations are different for each. Skeletal traction involves pins or wires directly inserted into the bone, and while the risk of infection is present, it is not necessarily lower than that of skin traction.
B. "Clients in skin traction have more mobility than those in skeletal traction."
This statement is not accurate. Skeletal traction, involving the use of weights and pins or wires inserted into the bone, tends to provide more stable immobilization. Skin traction, which relies on external devices applied to the skin's surface, may allow for some limited mobility but is generally not as effective as skeletal traction.
C. "Skeletal traction is better than skin traction for reducing a fracture."
This is the correct statement. Skeletal traction is often more effective in providing a stable and controlled environment for reducing and immobilizing fractures.
D. "Clients in skin traction have more discomfort than those in skeletal traction."
This statement is not necessarily accurate. Discomfort can vary depending on the individual, the type of fracture, and other factors. Both skeletal and skin traction may cause some discomfort, and it's important to assess and manage the client's pain appropriately in either case.
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