Nokea
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.
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When the dying patient becomes confused, the nurse should him or her.
Correct Answer: reorient
Rationale: Reorientation regarding time, date, and location is the least distressing to the dying patient.
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.
During a pain assessment, the patient tells the nurse that the pain is aching, stabbing, and throbbing. What type of pain is the patient describing?
- A. Visceral
- B. Neuropathic
- C. Somatic
- D. Psychogenic
Correct Answer: C
Rationale: Somatic pain arises from the musculoskeletal system and is aching, stabbing, or throbbing. Visceral pain arises from the internal organs and is described as cramping, dull, or squeezing. Neuropathic pain arises from the neurologic system and is described as tingling, burning, or shooting.
When air hunger is assessed in the dying patient, the nurse can perform which interventions?
- A. Circulate the air with a fan.
- B. Administer a tranquilizer to decrease anxiety.
- C. Provide good oral hygiene.
- D. Perform careful suctioning
- E. Raise the head of the bed 30 degrees.
Correct Answer: A,B,C,E
Rationale: Circulating the air with a fan, administering a tranquilizer to decrease anxiety, providing good oral hygiene, and raising the head of the bed 30 degrees are all interventions that can aid in relieving air hunger in the dying patient. Suctioning will increase mucus production, which will make the dyspnea worse.
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.