A nurse is assisting with teaching a class about medically futile treatment. The nurse should include which of the following as an example of medically futile treatment?
Administering an antiemetic to a client who has post chemotherapy nausea
Administering a narcotic analgesic to a client who has end stage cancer
Administering oral care for a client who has post chemotherapy mucositis
Administering chemotherapy to a client who has metastatic cancer
The Correct Answer is D
Choice A reason: This statement is incorrect because administering an antiemetic to a client who has post chemotherapy nausea is not medically futile. It is a supportive measure that can help the client to manage the side effects of chemotherapy and improve their comfort and quality of life.
Choice B reason: This statement is incorrect because administering a narcotic analgesic to a client who has end stage cancer is not medically futile. It is a palliative measure that can help the client to relieve their pain and suffering and improve their comfort and quality of life.
Choice C reason: This statement is incorrect because administering oral care for a client who has post chemotherapy mucositis is not medically futile. It is a preventive measure that can help the client to avoid infections and complications and improve their oral health and hygiene.
Choice D reason: This statement is correct because administering chemotherapy to a client who has metastatic cancer is medically futile. It is a curative measure that has no reasonable chance of achieving its intended goal of eradicating the cancer or prolonging the client's survival. It may also cause harm or distress to the client by exposing them to unnecessary risks and side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Providing competencies for the nurses to achieve before licensure is not a description of standards of practice, but rather a function of the nursing education and accreditation system. Standards of practice are authoritative statements that define the expected level of performance for nurses after they obtain their license.
Choice B reason: Establishing a protocol for care to provide for a specific health problem is not a description of standards of practice, but rather a function of the clinical practice guidelines and evidence based practice. Standards of practice are broader and more general statements that apply to all nurses regardless of their specialty or setting.
Choice C reason: Specifying that nurses provide care that reflects current and competent level of behavior when providing client care is a description of standards of practice, as it captures the essence of what standards of practice are and why they are important. Standards of practice are based on the best available evidence and professional consensus, and they guide nurses in delivering safe, quality, and ethical care to their clients.
Choice D reason: Listing a set of skills that all nurses should be competent in performing, outlining responsibilities that every nurse is expected to provide regardless of their role is not a description of standards of practice, but rather a function of the scope of practice. Scope of practice describes the services that a qualified health professional is deemed competent to perform, and permitted to undertake, in keeping with the terms of their professional license..
Correct Answer is B
Explanation
Choice A reason: This statement does not demonstrate health literacy by the client, but rather a need for more health education. Health literacy is the ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Requesting further information to improve their health indicates that the client may lack some knowledge or skills related to their condition.
Choice B reason: This statement demonstrates health literacy by the client, as it shows that they have learned and applied an important selfcare behavior for diabetes management. Taking blood glucose daily is a way to monitor and control blood sugar levels, which can prevent or delay complications of diabetes.
Choice C reason: This statement does not demonstrate health literacy by the client, but rather a need for more communication with their provider. Health literacy is not only about acquiring information, but also about using it effectively to make informed decisions. Asking to speak with their provider suggests that the client may have some questions or concerns that need to be addressed.
Choice D reason: This statement does not demonstrate health literacy by the client, but rather a need for more nutritional guidance. Health literacy is not only about understanding information, but also about acting on it to improve health outcomes. Requesting to speak with a nutritionist implies that the client may need some assistance with planning and following a healthy diet for diabetes.
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