Nokea
The nurse should educate the patient and caregiver that large doses of narcotics are required to control pain. What is the optimal dose for pain medications?
- A. The smallest amount possible to achieve some effects
- B. The dose that provides pain relief
- C. The dose that is not addictive
- D. The dose that works for most people
Correct Answer: B
Rationale: The patient and caregiver should understand that pain can be controlled and that using large doses of opioids is common and necessary to achieve that control. It is good to educate the patient and caregiver that the dose that works is the dose that works.
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When educating a patient concerning ways to prevent nausea, the nurse suggests that eating slowly in a pleasant atmosphere will help, as well as taking an antiemetic before meals. How many minutes before meals should the patient take the antiemetic?
- A. 10
- B. 20
- C. 30
- D. 60
Correct Answer: C
Rationale: Taking an antiemetic 30 minutes before meals reduces nausea and increases appetite.
What are the goals of hospice service?
- A. Alleviating symptoms of approaching death
- B. Educating and supporting primary caregivers
- C. Using family input for designing a plan of care
- D. Encouraging patients and caregivers to enjoy life
- E. Focusing on the desires of the family in the plan of care
Correct Answer: A,B,C,D
Rationale: The plan of care should focus on the desires of the patient, not the desires of the family members.
Who was responsible for renewing the hospice philosophy in the 1960s?
- A. Cicely Saunders
- B. Lillian Wald
- C. Dorothea Dix
- D. Florence Nightingale
Correct Answer: A
Rationale: The idea of hospice is originated in Europe. Dame Cicely Saunders renewed the idea of hospice in the 1960s.
The hospice nurse instructs the family that they have access to a hospice pharmacist, who is available for consultation on the drugs the hospice patient may be taking. What other role does the hospice pharmacist fill?
- A. Administer all drugs necessary for pain alleviation.
- B. Evaluate drug interactions with food and other medications.
- C. Evaluate the safety of the drug storage in the patient's home.
- D. Monitor drug effectiveness by frequent phone interviews with the family.
Correct Answer: B
Rationale: The hospice pharmacist is available to consult about drug interactions with other drugs or food. The pharmacist does not administer the drugs. The nurse would evaluate the safety of drug storage in the home and monitor the drug effectiveness.
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.