A nurse is caring for a client who has metastatic bone cancer. The client states, "I want to go home to die." The family is concerned about meeting the client's care needs at home. Which of the following actions should the nurse take?
Discuss initiating hospice care with the client and family.
Talk with the provider about extending the client's hospital stay.
Write a referral to place the client in a nursing home.
Inform the client's family that they are responsible for providing palliative care.
The Correct Answer is A
A. Discussing initiating hospice care is appropriate to address the client's desire to go home for end-of-life care and to provide support and resources for the family.
B. Extending the hospital stay may not align with the client's wishes for end-of-life care at home.
C. Placing the client in a nursing home may not be in line with the client's preference to go home.
D. While the family may provide palliative care, the nurse should also explore hospice care options for comprehensive support.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Removing the nasal cannula while the client eats can interrupt oxygen therapy.
B. Attaching a humidifier bottle to the base of the flow meter helps to humidify the oxygen, preventing dryness and irritation of the nasal passages, which is appropriate for oxygen flow rates above 4 L/min.
C. Applying petroleum jelly to the nares can pose a fire hazard due to its petroleum base.
D. Securing the oxygen tubing to the bed sheet is not necessary and does not ensure the proper administration of oxygen.
Correct Answer is C
Explanation
A. Fidelity refers to faithfulness and keeping promises made to clients.
B. Autonomy respects a client's right to make their own decisions about their care.
C. Nonmaleficence is a core principle in healthcare ethics and emphasizes the primary duty of healthcare providers to do no harm to their clients. This means carefully considering the potential risks and benefits of any treatment or intervention before administering it.
D. Justice ensures fair and equitable access to care for all individuals.
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