Nokea
A nurse is caring for a client who is meeting with the palliative care team. After the meeting, the client's family asks for clarification about palliative care. Which statements about palliative care are accurate? Select all that apply.
- A. Palliative care focuses on quality of life and can be provided at any time
- B. Palliative care is only possible with a terminal diagnosis of ≤ 6 months
- C. Palliative care is provided by a multidisciplinary team
- D. Palliative care is another term for hospice care
- E. Palliative care provides relief from symptoms associated with chronic illnesses
Correct Answer: A,C,E
Rationale: Palliative care aims to improve quality of life and can be provided at any stage of illness (A). It involves a multidisciplinary team to address various needs (C). It also focuses on symptom relief for chronic illnesses (E). Palliative care is not limited to terminal diagnoses (B is incorrect) and is distinct from hospice care, which is specifically for end-of-life (D is incorrect).
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An adult comes to the physician's office with a history of headache yesterday and today and pain in the back. The nurse observes a horizontal band of pustular rash on the back extending from the spine to midline in the front. The client describes it as very painful. What would the nurse expect to be prescribed for this client?
- A. Antiviral
- B. Antibiotics
- C. Topical hydrocortisone
- D. Benadryl
Correct Answer: A
Rationale: The painful, unilateral, dermatomal pustular rash suggests herpes zoster (shingles), treated with antivirals like acyclovir.
The nurse's neighbor calls the nurse and asks for assistance with her child who developed a nosebleed after being hit in the nose by a ball. What should the nurse recommend to the neighbor?
- A. Pinch the child's nose and bend the head forward.
- B. Pinch the child's nose and bend the head backward.
- C. Put ice on the nose and call 911 immediately.
- D. Stuff cotton up both nostrils and bend the head backward.
Correct Answer: A
Rationale: Pinching the nose and leaning forward compresses the bleeding site and prevents blood swallowing, effectively managing a nosebleed caused by trauma.
An adult is prescribed sulfisoxazole (Gantrisin) for a urinary tract infection. Which comment by the client indicates understanding of the treatment regimen?
- A. When I feel better, I can stop taking the medicine.
- B. I will stay out of the sun when I am taking this drug.
- C. I should restrict fluids during the evening as long as I am on the medicine.
- D. I will bring in a urine specimen every day while I am taking the drug.
Correct Answer: B
Rationale: Sulfisoxazole causes photosensitivity; avoiding sun exposure is critical to prevent skin reactions, indicating understanding.
The nurse preparing an educational seminar on sexually transmitted infections for female college students should advise that which 2 infections are leading causes of pelvic inflammatory disease and infertility?
- A. Genital herpes and HIV
- B. Gonorrhea and chlamydia
- C. Human papillomavirus and syphilis
- D. Yeast and trichomoniasis
Correct Answer: B
Rationale: Gonorrhea and chlamydia (B) are bacterial infections that commonly cause pelvic inflammatory disease and infertility if untreated. Other options are less associated with these outcomes.
A nurse is providing care to a group of postpartum clients. Which client comment should prompt further investigation?
- A. I feel so exhausted that I started taking naps when the baby sleeps.
- B. I have trouble sleeping well at night because I worry that I won't hear the baby cry.
- C. My aunt has come over every day to care for the baby because the baby's cries bother me.
- D. My spouse thinks that I have been more emotional since I had the baby last week.
Correct Answer: C
Rationale: Being bothered by the baby's cries (C) may indicate postpartum depression, requiring investigation. Exhaustion (A), worry (B), and emotionality (D) are common postpartum experiences.