A nurse is planning care for a client who is to begin receiving hospice care. Which of the following interventions should the nurse include in the plan?
Insert a peripheral catheter to deliver intravenous fluids.
Obtain a prescription for parenteral nutrition.
Offer the client massage therapy:
Initiate a referral for physical therapy.
The Correct Answer is C
A. Insert a peripheral catheter to deliver intravenous fluids: Routine IV fluid administration is not a standard intervention in hospice care unless specifically indicated for symptom management. The focus in hospice is on comfort and quality of life rather than aggressive interventions, so placing an IV line for routine hydration is generally avoided.
B. Obtain a prescription for parenteral nutrition: Parenteral nutrition is typically not initiated in hospice care because it does not improve comfort or quality of life and may cause discomfort or complications. Hospice care prioritizes symptom management, pain relief, and emotional support rather than aggressive nutritional interventions.
C. Offer the client massage therapy: Massage therapy is an appropriate intervention in hospice care as it promotes comfort, reduces pain, alleviates anxiety, and supports emotional well-being. Complementary therapies like massage are aligned with hospice goals of enhancing quality of life and providing holistic care for clients nearing the end of life.
D. Initiate a referral for physical therapy: Physical therapy in hospice is generally limited and focused only on maintaining comfort and safe mobility rather than improving function or strength. While referrals can be made if needed, massage therapy is a more direct intervention to address comfort and symptom management at this stage of care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Have you noticed a rash or reddening of your skin?": While skin irritation can occur with some occupational exposures, insulation installers are more commonly exposed to airborne fibers that affect the respiratory system rather than causing primary skin rashes.
B. "Do you have a cough or any breathing problems?": Insulation installers are at risk for inhaling fiberglass, asbestos, or other particles that can irritate the lungs and airways. Assessing for respiratory symptoms is essential to identify potential occupational lung disease or irritation.
C. "Have you noticed any loss of hearing or ringing in your ears?": Hearing loss and tinnitus are more relevant for workers exposed to loud noise, such as in manufacturing or construction environments with heavy machinery, rather than insulation installation specifically.
D. "Do you have any numbness or tingling in your fingers?": Numbness or tingling is usually associated with repetitive motion injuries, neuropathies, or exposure to vibrating tools. While possible, it is less directly related to the primary occupational hazards of insulation work.
Correct Answer is A
Explanation
A. "I will complete my arm exercises four times a day.": Performing arm and shoulder exercises after a modified radical mastectomy helps maintain range of motion, prevent stiffness, and reduce the risk of lymphedema. Regular exercises multiple times a day reflect proper understanding of postoperative rehabilitation.
B. “I will have my drains removed 1 hour prior to going home.": Drain removal is based on the volume of drainage and physician assessment, not a set time before discharge. Premature removal can increase the risk of fluid accumulation and infection.
C. “I can begin to drive 24 hours after surgery.": Driving is usually not recommended until the client has regained adequate strength, range of motion, and is off strong pain medications, typically several days postoperatively. Doing so within 24 hours can be unsafe.
D. "I can shower within 48 hours of my surgery.": Showering is usually delayed until drains are in place and the incision is sufficiently healed, often following specific surgeon instructions. Showering too early can disrupt wound healing and increase infection risk.
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