A nurse is counseling a client who has advanced-stage lung cancer about the use of palliative care. Which of the following client statements indicates an understanding of the information?
"If I choose palliative care, I can only go to the hospital if I stop breathing."
"I need to stop treatments for my cancer before beginning palliative care."
"If my oncologist recommends palliative care, it means that have about 6 months or less to live."
"The purpose of palliative care is to provide comfort measures for cancer."
The Correct Answer is D
A. "If I choose palliative care, I can only go to the hospital if I stop breathing."
This statement is not accurate. Palliative care can be provided in various settings, including hospitals, and it does not mean the client can only receive care if in a life-threatening situation.
B. "I need to stop treatments for my cancer before beginning palliative care."
Palliative care can be integrated with ongoing curative treatments. It does not require the cessation of cancer treatments.
C. "If my oncologist recommends palliative care, it means that I have about 6 months or less to live."
Palliative care is not synonymous with hospice care, which typically involves end-of-life care for individuals with a prognosis of 6 months or less. Palliative care is appropriate at any stage of a serious illness and can be provided alongside treatments aimed at curing or controlling the disease.
D. "The purpose of palliative care is to provide comfort measures for cancer."
Palliative care focuses on providing relief from the symptoms and stress of a serious illness, such as cancer. It is not limited to end-of-life care and can be initiated alongside curative treatments.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Herpes simplex virus.
Explanation: While Herpes simplex virus (HSV) is a common viral infection, reporting requirements may vary. In many regions, it is not necessarily a reportable infection to the health department.
B. Human papillomavirus (HPV).
Explanation: Similar to HSV, reporting requirements for Human papillomavirus (HPV) may vary. In many cases, HPV is not a reportable infection to the health department.
C. Chlamydia.
Explanation: Chlamydia is a sexually transmitted infection (STI) that is reportable to public health authorities. Reporting cases of Chlamydia to the state health department is important for monitoring and controlling the spread of the infection. This helps in implementing public health interventions and preventive measures.
D. Group B streptococcus β-hemolytic.
Explanation: Group B streptococcus (GBS) is commonly associated with infections in newborns. Reporting requirements for GBS infections may also vary, but in many cases, GBS infections in adults are not routinely reportable to the health department. However, GBS screening during pregnancy and reporting of positive results for preventive measures in newborns might be in place.
Correct Answer is C
Explanation
A. The anthrax vaccine is ineffective following direct anthrax exposure.
Explanation: The anthrax vaccine is a preventive measure but is not considered a treatment for individuals who have already been directly exposed to anthrax. Post-exposure prophylaxis with antibiotics is the primary intervention in such cases.
B. Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.
Explanation: The duration of prophylactic treatment may vary depending on the specific antibiotic used. While a 10-day course is common, the exact duration may be determined based on the specific antibiotic prescribed and updated recommendations from public health authorities.
C. Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax.
Explanation: In the event of widespread public exposure to anthrax, prophylactic antibiotics such as ciprofloxacin are recommended for asymptomatic individuals who were directly exposed. Ciprofloxacin is one of the antibiotics effective against Bacillus anthracis, the bacterium that causes anthrax. Providing prompt prophylactic treatment can prevent the development of anthrax infection.
D. Manifestations of anthrax infection appear within 3 days of exposure.
Explanation: The incubation period for anthrax can vary, and symptoms may not appear within 3 days of exposure. The incubation period can range from days to weeks, and the onset of symptoms may depend on factors such as the dose of exposure and the strain of anthrax.
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