An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:

Of this type is not curative and may help reduce the pain he is experiencing

Will be used as a single treatment measure. Previous medications will be discontinued.

May disqualify him from receiving hospice care.

May halt the metastatic process

Answer and Explanation

The Correct Answer is A

A. Of this type is not curative and may help reduce the pain he is experiencing: This response provides accurate information about the purpose of palliative radiation therapy for bony metastases. It acknowledges the patient's concerns about treatment not curing the cancer while emphasizing the potential benefit of radiation therapy in reducing pain and improving quality of life.

B. Will be used as a single treatment measure. Previous medications will be discontinued: This statement is inaccurate and may cause confusion for the patient. Palliative radiation therapy is often used in conjunction with other pain management strategies, and discontinuing previous medications without a proper assessment and plan may not be appropriate.

C. May disqualify him from receiving hospice care: This statement is incorrect. Receiving palliative radiation therapy does not automatically disqualify a patient from hospice care. Hospice care focuses on providing comfort and support to terminally ill patients, and decisions about treatments such as radiation therapy are made based on the patient's goals and preferences.

D. May halt the metastatic process: Palliative radiation therapy is not typically used with the intention of halting the metastatic process. Its primary goal is to alleviate symptoms such as pain and improve the patient's quality of life. While radiation therapy may shrink tumors in some cases, it is not considered a curative treatment for metastatic cancer.

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Correct Answer is C

Explanation

A. Harsh and rattling: Harsh and rattling respirations are indicative of other respiratory conditions, such as respiratory tract obstruction or excessive secretions in the airways, rather than Cheyne-Stokes respiration.

B. Long periods of fast deep breaths: This describes hyperventilation, where there are rapid and deep breaths without periods of apnea, which is not characteristic of Cheyne-Stokes respiration.

C. Shallow followed by periods of apnea: Cheyne-Stokes respiration is characterized by a pattern of gradually increasing and then decreasing depth of respirations, followed by periods of apnea (no breathing). This pattern repeats cyclically.

D. Wheezing and labored: Wheezing and labored respirations are associated with conditions such as asthma or chronic obstructive pulmonary disease (COPD), rather than Cheyne-Stokes respiration.

A. feces and urine Will drain onto the bed pads. B. movement of the deceased will be more convenient. C. blood will not pool in the face and cause discoloration. D. the deceased will appear to be sleeping.

Correct Answer is C

Explanation

Feces and urine will drain onto the bed pads (Option A): Placing the body supine with the head raised does not facilitate drainage of feces and urine. Proper containment measures, such as the use of incontinence pads or diapers, are necessary to manage bodily fluids after death.

Movement of the deceased will be more convenient (Option B): Placing the body supine with the head raised does not necessarily make movement of the deceased more convenient. Postmortem care should be performed with care and respect, regardless of the positioning of the body.

Blood will not pool in the face and cause discoloration (Option C): Placing the body supine with the head raised helps prevent blood from pooling in the dependent areas of the face, such as the cheeks and forehead. This reduces the risk of postmortem lividity, which can cause discoloration and make the deceased's appearance less natural.

The deceased will appear to be sleeping (Option D): While placing the body supine with the head raised may create a more natural appearance for the deceased, resembling the posture of someone sleeping, the primary purpose of this positioning is to prevent blood pooling in the face, rather than to create a sleeping appearance.

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An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

Correct Answer is C

Explanation

After a patient death, the nurse is preparing to perform postmortem care. The body is placed supine with the head raised so that:

Correct Answer is C

Explanation

The examination of body organs and tissues after death is known as a/an:

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "Go away, I don't want company. "

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. Tells God: "If I quit smoking I can just live until after my daughter's wedding."

The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must?

When the patient says, "l can die happily if I can live long enough to see my first grandchild that will be born next month." The nurse assesses that this patient is experiencing Kübler Ross's stage of:

A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "My family will be fine after I'm gone "

A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say: