A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?
I am thinking of getting a second opinion.
This is not working, and I plan to stop treatment.
I am hoping this will help relieve my discomfort.
This is making me stronger every day.
The Correct Answer is C
A. Seeking a second opinion suggests the client may be exploring different treatment options, indicating some level of hope for improvement.
B. Expressing plans to stop treatment may indicate frustration or dissatisfaction but does not necessarily reflect acceptance of the prognosis.
C. Expressing a desire for symptom relief (in this case, discomfort) is indicative of an understanding and acceptance of palliative care.
D. Stating that the treatment is making the client stronger every day may reflect a positive attitude but does not necessarily indicate acceptance of the prognosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. Using clean technique helps prevent contamination during catheter dressing changes.
B. Changing the catheter dressing every 2 days may not be necessary, and frequency should be based on the facility's policy and the client's condition.
C. Povidone-iodine is not the recommended antiseptic for cleaning the access port.
Alcohol or chlorhexidine is typically recommended.
D. Proper hand hygiene is crucial to prevent introducing pathogens during catheter care.
E. Using friction when cleaning the access port is not a recommended practice and may cause damage. Cleaning should be done gently to avoid compromising the integrity of the site.
Correct Answer is B
Explanation
A. Continuous passive motion (CPM) machines are typically used after joint surgeries, not thoracic surgeries.
B. A chest tube is often used postoperatively after a lobectomy to drain excess air, fluid, or blood from the pleural space.
C. A three-way urethral catheter may be used for urinary drainage, but it is not specific to thoracic surgery.
D. Electroencephalography (EEG) monitoring wires are used for monitoring brain activity and are not typically used in the postoperative care of a client following a lobectomy.
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