Nokea
The nurse warns that nausea is a common side effect with opioid treatment. What is the best treatment for nausea caused by opioids?
- A. Antiemetics
- B. Ice chips
- C. Dry crackers
- D. Ginger ale
Correct Answer: A
Rationale: Rather than discontinuing the opioid, the nausea should be treated with an antiemetic.
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The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient. What can a hospice volunteer do for a patient and caregiver?
- A. Give the family respite.
- B. Give necessary medication in the absence of the nurse.
- C. Be at the family's disposal 16 hours a week.
- D. Bathe the patient.
Correct Answer: A
Rationale: The volunteer coordinator assigns volunteers to the family to give the family respite. The volunteer cannot give medication. A dedicated number of hours per week are not mandated. It is not the role of the volunteer to provide personal care.
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.
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 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.
What symptom of hospice patients is the most dreaded and feared, and should be a priority of symptom management?
- A. Fear
- B. Anger
- C. Grief
- D. Pain
Correct Answer: D
Rationale: While hospice patients experience all of these symptoms, pain is the most dreaded and feared. Pain disrupts the quality, activities, and enjoyment of life. Pain should be a priority of symptom management in hospice care.