Nokea
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.
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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.
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.
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.
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 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.