Nokea
What are the drugs of choice when caring for the hospice patient?
- A. Nonsteroidal antiinflammatory drugs
- B. Anticholinergic drugs
- C. Duragesic patches
- D. Morphine derivatives
Correct Answer: D
Rationale: Morphine derivatives are popular drugs of choice when dealing with the hospice patient because they have a wide variety of modes of administration and provide good pain control.
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Why should the hospice nurse delay the use of oropharyngeal suctioning?
- A. It will decrease mucus production.
- B. It will be uncomfortable for the patient.
- C. It is not necessary.
- D. It puts the patient at risk for infection.
Correct Answer: B
Rationale: Suctioning should only occur if the patient is choking because it causes an increase in mucus production and is uncomfortable for the patient.
What is the overall objective of hospice service?
- A. Relieve symptoms of terminal disease.
- B. Educate the patient about the process of death.
- C. Keep the patient comfortable as death approaches.
- D. Relieve the family of the stress of death.
Correct Answer: C
Rationale: Hospice is a philosophy of care that provides support and comfort to patients who are dying.
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.
What is the most common problem of the terminally ill patient that is caused by narcotics?
- A. Malnutrition
- B. Constipation
- C. Fluid retention
- D. Dehydration
Correct Answer: B
Rationale: One of the most common opioid-induced problems of the terminally ill patient is constipation.
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.