Nokea
The hospice nurse instructs caregivers in repositioning the patient because the patient spends most of the time reclining. What problem can this cause?
- A. Contractures
- B. Pressure injuries
- C. Bruising
- D. Excoriation
Correct Answer: B
Rationale: Increased weakness is noted in the last stages of a terminal illness. With increased weakness, activity intolerance increases, and the patient spends most of the time reclining. This leads to risk for skin impairment and the formation of pressure injuries.
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When a deficiency in nutritional status of a patient is assessed, what action should be taken by the hospice nurse?
- A. Make a comprehensive grocery list for the caregiver.
- B. Alert the licensed medical nutritionist.
- C. Seek culturally appropriate methods to increase nutrition.
- D. Instruct the caregiver to give the patient multivitamins.
Correct Answer: B
Rationale: The hospice nurse can call on the nutritionist for assistance for the patient who is assessed as having a nutritional deficit. The nutritionist can then provide assistance with meal planning and diet counseling.
The hospice nurse documents an assessment finding of cachexia in the patient record. What does cachexia describe?
- A. Deep sleep and unresponsiveness
- B. Marked weakness and emaciation
- C. Total addiction to opioids
- D. Renewed energy
Correct Answer: B
Rationale: Malnutrition marked by weakness and emaciation is called cachexia.
Which medication relaxes the patient's respiratory effort and thus increases the efficiency of the patient's respiratory status?
- A. Aminophylline
- B. Theophylline
- C. Epinephrine
- D. Morphine
Correct Answer: D
Rationale: Respiratory distress may be relieved by morphine.
The hospice nurse requests that the patient designate a primary caregiver for himself. What is true of the primary caregiver?
- A. Must be a relative.
- B. Has complete control over the patient's care.
- C. Assumes ongoing responsibility for health maintenance of the patient.
- D. Must have power of attorney.
Correct Answer: C
Rationale: A primary caregiver is one who assumes responsibility for health maintenance and therapy. It is not necessary that the primary caregiver be a relative. The primary caregiver does not have complete control over the patient's care, and it is not necessary for the primary caregiver to have power of attorney.
Who conducts the nutritional assessment at the time of admission to hospice care?
- A. Health care provider
- B. Hospice nurse
- C. Caregiver
- D. Unlicensed assistive personnel
Correct Answer: B
Rationale: The hospice nurse does the nutritional assessment during admission.