A primary care nurse is assessing a patient with advanced heart failure who is experiencing frequent hospitalizations and worsening symptoms despite optimal management. Which action by the nurse best demonstrates an understanding of recommending the patient for palliative care services?

Referring the patient to a cardiologist for a second opinion on treatment options.

Scheduling the patient for additional diagnostic tests to evaluate the progression of the heart failure.

Discussing with the patient and family the benefits of palliative care in managing symptoms and improving quality of life.

Educating the patient about the importance of adhering to prescribed medications

Answer and Explanation

The Correct Answer is C

A. Referring to a cardiologist may be appropriate for treatment options, but it does not address the broader goals of palliative care focused on quality of life and symptom management.
B. Additional diagnostic tests focus on disease progression but do not address the supportive care needs that palliative care can provide.
C. Discussing palliative care with the patient and family aligns with the goal of improving quality of life and managing symptoms, which is central to palliative care services.
D. Medication adherence is important but does not encompass the comprehensive approach of palliative care, which includes symptom management and support.

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Correct Answer is B

Explanation

A. Providing medications for pain and discomfort helps manage symptoms but does not directly address skin integrity.
B. Using an air mattress is effective in reducing pressure on bony prominences, thereby preventing pressure ulcers and promoting skin integrity.
C. Applying lotion helps with skin hydration but does not address the pressure that can lead to skin breakdown.
D. Educating family members about turning and repositioning is important but does not provide the physical support needed to reduce pressure on the skin as effectively as an air mattress.

A. Primary prevention B. Workplace prevention C. Tertiary prevention D. Secondary prevention

Correct Answer is A

Explanation

A. Conducting a walk-through to identify workplace hazards is an example of primary prevention, as it aims to prevent potential injuries or illnesses before they occur by addressing hazards proactively.
B. Workplace prevention is not a standard classification in prevention levels; primary, secondary, and tertiary are the recognized levels.
C. Tertiary prevention focuses on managing and reducing the impact of an existing condition, rather than preventing it.
D. Secondary prevention involves early detection and intervention of existing conditions, which is not the focus of identifying hazards before they lead to problems.

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A primary care nurse is assessing a patient with advanced heart failure who is experiencing frequent hospitalizations and worsening symptoms despite optimal management. Which action by the nurse best demonstrates an understanding of recommending the patient for palliative care services?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention best promotes skin integrity for hospice patients receiving care in the community?

Correct Answer is B

Explanation

What level of prevention does the nurse achieve by conducting a walk-through to identify workplace hazards?

Correct Answer is A

Explanation

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