The nurse is caring for a client who has been diagnosed with an exacerbation of a progressive neurologic disease. The nurse recognizes that the client understands palliative care when the client states:
"My family will need to shoulder the burden of my care."
"I will be supported so I can be as independent as possible."
"I should turn my care decisions over to my partner.
"My neurologist will no longer care for me."
The Correct Answer is B
B. This statement demonstrates an understanding of palliative care as a supportive approach focused on optimizing independence and quality of life. Palliative care emphasizes symptom management, psychosocial support, and enhancing functional abilities to enable patients to live as fully and independently as possible, even in the context of a progressive neurologic disease. This statement aligns with the principles of palliative care, which aim to empower patients to make choices and maintain control over their lives.
A. This statement reflects a perception of palliative care as solely placing the responsibility of care on the family. While family support is an essential component of palliative care, it is not the sole responsibility of the family. Palliative care aims to provide comprehensive support to patients with serious illnesses, addressing physical, emotional, social, and spiritual needs. It involves a collaborative approach involving healthcare professionals, patients, and their families to ensure holistic care and quality of life.
C. This statement suggests a misconception about palliative care, equating it with relinquishing control of care decisions to a partner or caregiver. In reality, palliative care emphasizes patient-centered decision-making and supports patients in expressing their preferences, values, and goals of care. While caregivers play an important role in the palliative care team, ultimate decision-making authority rests with the patient, and care plans are tailored to align with the patient's wishes and priorities.
D. This statement reflects a misunderstanding of palliative care as a replacement for disease-specific medical care, such as neurology. Palliative care is not mutually exclusive with disease-focused treatment but rather complements it by addressing the broader physical, emotional, and social needs of patients with serious illnesses, including progressive neurologic diseases. Palliative care can be provided concurrently with disease-specific treatments and involves a multidisciplinary team, which may include specialists like neurologists, to ensure comprehensive care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. One of the primary purposes of inserting an NG tube is to decompress the stomach by removing gastric contents. In the case of abdominal distention and severe vomiting, excess gas and fluid accumulation in the stomach can contribute to discomfort and further vomiting. The NG tube provides a way to suction out these contents, relieving pressure and reducing symptoms.
B. NG tubes can also be used to administer medications directly into the stomach. This route is particularly useful when a client is unable to take medications orally due to vomiting or other gastrointestinal issues. Medications can be crushed and dissolved in liquid form before being administered through the NG tube.
C. In some situations, such as when assessing for gastrointestinal bleeding or checking for tube placement, it may be necessary to determine the pH of gastric secretions. Gastric aspirate obtained through the NG tube can be tested for acidity, which can help confirm that the tube is correctly positioned in the stomach and provide information about the client's digestive function.
D. While NG tubes can be used to supply nutrients via tube feedings, this is not typically the primary rationale for their use in the acute situation described (abdominal distention and severe vomiting). However, in cases where a client is unable to tolerate oral intake due to their condition, tube feedings can be administered through the NG tube to provide essential nutrients and maintain nutritional status.
Correct Answer is A
Explanation
A. "STAT" stands for "immediately" or "at once" in medical terminology. When a medication order is marked as STAT, it means that the medication should be administered as soon as possible, without delay. This abbreviation is used for urgent situations where the medication needs to be given promptly.
B. "PRN" stands for "pro re nata," which translates to "as needed" in Latin. When a medication order is marked as PRN, it means that the medication should be administered as required based on the patient's needs or symptoms. The timing of administration is not fixed but depends on specific conditions or situations, such as pain or nausea.
C. "TID" stands for "ter in die," which translates to "three times a day" in Latin. When a medication order is marked as TID, it means that the medication should be administered three times daily, at regular intervals throughout the day.
D. "QID" stands for "quater in die," which translates to "four times a day" in Latin. When a medication order is marked as QID, it means that the medication should be administered four times daily, at regular intervals throughout the day.
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