Cellular regulation, Cellular Regulation, Palliative Care

The nurse is planning care for a patient with hypercalcemia secondary to bone metastasis. Which interventions will be included in the plan of care?

Increasing oral fluids Observation for muscle weakness

In caring for a patient following lobectomy for lung cancer, which of the following should the nurse include in the plan of care?

Instruct the patient to cough and deep breathe.

The nurse is caring for a patient who received a bone marrow transplant 10 days ago. The nurse would monitor for which of the following clinical manifestations that could indicate a potentially life-threatening situation?

Mild temperature elevation

One of the biggest challenges facing current nursing practice is:

Millions of Americans are living with one or more chronic debilitating diseases, and 7 out of 10 can expect to live with their diseases several years before dying. When coupled with the advancing age of the eight million baby boomers who now qualify for Medicare, this will soon create a huge demand on health care resources and community-based services.

Palliative care does everything except:

Palliation is the reduction of symptoms without elimination of the cause. Palliative care refers to the provision of care for patients who are diagnosed with a disease or condition without a cure.

Palliative care used in the management of a patient with symptomatic chronic obstructive pulmonary disease (COPD) is an example of which of the following?

Palliation is the relief or management of symptoms without providing a cure. To palliate is to reduce the severity of an actual or potential life-threatening condition or a chronic debilitating illness. Palliation is not equivalent to cure, but it is the reduction of undesirable effects resulting from the incurable disease or condition.

Today most patients are living for several years before dying with multiple chronic conditions, such as COPD, congestive heart failure, diabetes, and obesity. These concomitant diseases contribute to multiple symptoms that interfere with the patient's quality of life. What type of care would you consider for this patient?

Palliative care provides optimal symptom management in the setting of multiple chronic conditions. The relief and management of these symptoms help to promote improved quality of life for the patient and help to maintain physical functioning.

While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention?

Prioritization and administration of nursing care throughout the day

The most prominent goal of palliative care is to:

The goal of palliative care is to integrate symptom management interventions earlier into the course of chronic disease sooner rather than later. This helps to promote optimal quality of life.

What priority intervention will the nurse employ to prevent injury to the patient with bone cancer?

Using a lift sheet when repositioning the patient

The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cancer?

Using skin protection during sun exposure while at the beach

While collecting a health history on a patient admitted for colon cancer, which of the following questions would be a priority to ask this patient?

"Have you noticed any blood in your stool?"

Upon entering the room, the nurse finds the patient, who has just had a mastectomy, crying. When the nurse asks about her crying, the patient states, "I know I shouldn't cry because this surgery may well save my life." What is the nurse's best response?

"It is okay to cry; mourning the loss of your breast is important for getting past this."

The interprofessional core team includes members from: .

An interprofessional team approach involving health care professionals from different disciplines is central to optimal palliative care practice and quality outcomes. The interdisciplinary core team includes members from medicine, nursing, social work, and clergy. Ancillary disciplines are also included.

A female patient complains of a "scab that just won't heal" under her left breast. During your conversation, she also mentions chronic fatigue, loss of appetite, and slight cough, attributed to allergies. What is the nurse's best action?

Continue to conduct a symptom analysis to better understand the patient's symptoms and concerns.

What is the priority nursing diagnosis for a patient experiencing chemotherapy-induced anemia?

Fatigue related to decreased cellular oxygenation

Which of the following findings during a female breast examination should the nurse report as suspicious for breast cancer?

A poorly defined, firm lump that is nontender and non-movable

While the nurse is obtaining the health history of a 75-year-old female patient, which of the following has the greatest implication for the development of cancer?

Advancing age