A patient has been diagnosed with terminal cancer and has decided to not continue with treatment. The nurse would recommend a consult with which healthcare specialty?
Radiation Oncology
Hospice
Psychiatry
Surgical oncology
The Correct Answer is B
A. Radiation oncology is focused on the use of radiation therapy to treat cancer. Since the patient has decided not to continue with treatment, this specialty would not be the most appropriate recommendation in this situation.
B. Hospice care is the most appropriate recommendation for a patient with a terminal diagnosis who has chosen to stop curative treatments. This specialty focuses on comfort, pain management, and emotional support for patients with a life expectancy of six months or less. It provides a multidisciplinary team to assist the patient and family during the end-of-life process.
C. Psychiatry may be helpful if the patient is experiencing significant emotional or psychological distress, but it is not the primary specialty needed for a terminal cancer patient who is opting for comfort-focused care.
D. Surgical oncology involves the physical removal of cancerous tumors through operative procedures. Because the patient has decided not to continue with cancer treatment, surgery—which is an invasive form of treatment—is no longer an objective. A surgical consult would not align with the patient’s goal of comfort and the cessation of aggressive medical interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["480"]
Explanation
Convert time to hours:
25 minutes ÷ 60 = 0.4167 hours
Step 2:
Use the formula:
Rate (mL/hr) = Volume (mL) ÷ Time (hr)
Rate = 200 mL ÷ 0.4167 hr ≈ 480 mL/hr
Correct Answer is B
Explanation
A. While mouth rinses can be helpful for some oral conditions, sodium bicarbonate solutions may not be appropriate for all types of oral lesions, and there are other more effective mouth care strategies for managing painful lesions.
B. This is a key intervention for managing painful oral lesions. Regular mouth care helps to maintain oral hygiene, reduce the risk of infection, and decrease discomfort while eating. It also promotes healing and prevents further complications.
C. While assessing pain is important, doing it just once a shift may not be sufficient. The nurse should assess pain more frequently, especially before and after meals, as pain from oral lesions can significantly impact a client’s ability to eat.
D. Offering small, frequent meals is typically more effective in improving nutrition for clients with painful oral lesions. The client may be more willing to eat smaller amounts rather than large meals, especially if pain is a significant issue.
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