A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?

Request a referral for a social worker.

Instruct the client that they need to change their advance directives first.

Discuss the client's wishes with their provider.

Ask the client why they do not want to continue treatment.

Answer and Explanation

The Correct Answer is C

A. Request a referral for a social worker.

While involving a social worker may be beneficial for additional support, the initial step should be to discuss the client's wishes with the healthcare provider.

B. Instruct the client that they need to change their advance directives first.

Changing advance directives is a process that involves legal and ethical considerations. However, the immediate concern is to have a conversation with the healthcare provider to understand the client's current wishes.

C. Discuss the client's wishes with their provider.

Explanation: When a client expresses a desire to discontinue treatment, it is important for the nurse to facilitate open communication between the client and their healthcare provider. This discussion allows the healthcare provider to explore the client's reasons for refusing further treatment, provide information about potential consequences, and address any concerns. It ensures that the client's wishes are fully understood, and decisions are made collaboratively with the healthcare team

D. Ask the client why they do not want to continue treatment.

While understanding the client's reasons is important, initiating a conversation with the healthcare provider should precede further exploration of the client's preferences and concerns.

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Correct Answer is B

Explanation

A. The client's blood pressure is 132/56 mm Hg.

Echinacea is not typically associated with significant effects on blood pressure. Monitoring blood pressure is essential but may not be directly related to the effectiveness of echinacea for the stated purpose.

B. The client's arthritis pain has improved.

Echinacea is often used as an alternative therapy, particularly for its potential immunostimulant properties. While its effectiveness is debated, some individuals report relief from symptoms, including arthritis pain. Monitoring the improvement of arthritis pain would be a relevant indicator of the treatment's effectiveness in this context.

C. The client's leg wound is healing.

Echinacea is not primarily known for its wound healing properties. Other factors, such as wound care practices and overall health, would likely have a more direct impact on the healing of a leg wound.

D. The client is sleeping through the night.

Echinacea is not typically associated with improvements in sleep patterns. Other factors, such as sleep hygiene or the resolution of conditions affecting sleep, would be more relevant in this context.

A. I will make sure my child gets a measles, mumps, and rubella vaccine this week." B. I should take my child's rectal temperature daily." C. I should inspect my child's mouth for sores." D. I'm sure my child will feel better now that he can ride his bicycle

Correct Answer is C

Explanation

A. "I will make sure my child gets a measles, mumps, and rubella vaccine this week."

Children with leukemia often have compromised immune systems, and live vaccines like measles, mumps, and rubella are generally contraindicated. Inactivated vaccines are usually recommended.

B. "I should take my child's rectal temperature daily."

While monitoring for fever is crucial in a child with leukemia due to the risk of infection, a rectal temperature is not typically necessary. Oral or tympanic temperature measurements are more commonly used.

C. "I should inspect my child's mouth for sores."

Children with leukemia are at increased risk of developing oral sores, infections, and complications. Regular inspection of the mouth allows for early detection of any issues, promoting timely intervention and prevention of complications.

D. "I'm sure my child will feel better now that he can ride his bicycle."

Physical activity and play are essential for a child's well-being, but this statement does not address the specific complications associated with leukemia or preventive measures for those complications. Regular medical monitoring and adherence to preventive measures are crucial.

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A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been taking echinacea as alternative therapy for treatment. Which of the following findings should indicate to the nurse the treatment has been effective?

Correct Answer is B

Explanation

A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching?

Correct Answer is C

Explanation

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