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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.
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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 clarifies that hospice service is initiated when what type of treatment is no longer effective?
- A. Proactive
- B. Palliative
- C. Alternative
- D. Curative
Correct Answer: D
Rationale: Hospice care is appropriate when curative treatment is no longer effective. Hospice service is palliative, proactive, and an alternative to curative treatment.
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.
The hospice nurse recommends that the patient prepare the document that provides guidance to the family concerning the patient's wishes regarding life-support measures and organ donation. What is this document called?
- A. Power of attorney
- B. Living will
- C. Advance directive
- D. Conservatorship
Correct Answer: C
Rationale: An advance directive is a document prepared while the patient is alive and competent that provides guidance to the family and health care team in the event the person can no longer make decisions.
The hospice nurse explains that to qualify for admission to a hospice, the attending health care provider must certify that the patient has a life expectancy of fewer than how many months?
- A. 2 months
- B. 3 months
- C. 4 months
- D. 6 months
Correct Answer: D
Rationale: The patient must meet certain criteria to be admitted to hospice, such as a prognosis of 6 months or fewer to live.