A nurse is caring for a client with a diagnosis of terminal cancer. The nurse notes the client's blood pressure is 140/88, pulse is 92 beats per minute, and respirations 36. Study with Quizlet and memorize flashcards containing terms like A nurse is providing care to a client experiencing symptoms associated with terminal illness. Which of the following statements by the client should indicate to the nurse that the client is ready to hear When the diagnosis of lung cancer is made, nurses need to formulate a nursing care plan to help the patient and family prepare for the future. Nursing School Content ; TEAS Content ; Ask the client about their understanding of the diagnosis. They must talk about your prognosis, treatment options, including the risks and benefits, and pain and symptom relief. I am embarrassed to eat in public b. The nurse identifies that which types of care will now be removed from the treatment plan? Select all that apply. A nurse is caring for an adolescent client who has a new diagnosis of terminal cancer. Which if the following statements should the nurse identify as an indication of anticipatory grieving?, A nurse is caring for a client who has a stage 1 pressure ulcer. I struggle to control my constant worry d. Which approach by a nurse is caring for a client who has a new diagnosis of colon cancer. "Is your Study with Quizlet and memorize flashcards containing terms like A client calls the oncology office nurse and reports nausea and vomiting one week after receiving chemotherapy. Which finding in the patient's The nurse is writing a care plan for a patient with brain metastases. Which of the following statements by the clients partner indicates maladaptive coping? Don't understand why he can't get better and return to work I cook for him at home and work hard to prepare a nutritious meals I am going to ask A client who has terminal cancer has been experiencing a significant increase in pain. D. How does the experienced nurse help prepare the new nurse initially to deal with dying children?, A child who knows his disease is terminal tells you that when he gets better he is going to be a doctor and cure everyone Study with Quizlet and memorize flashcards containing terms like Place the five stages of grieving identified and described by Elizabeth Kubler- Ross in order of progression from first to last. Terminal secretions are usually observed 3-23 hours A nurse is caring for a client with terminal liver cancer. Select the Live Chat button at the bottom of the page . The nurse would consider implementing neutropenic precautions if the client's white blood cell count was which value? A) 2000 mm3 (2. The client asks the nurse to help him end his own life to alleviate his suffering and that of his family. A client with lung cancer is being cared for by his wife at home. Allowing the client to function independently will strengthen her muscles It may be used to cure the cancer or to control malignancy when the tumor cannot be removed or when lymph node involvement is present, and it can be used prophylactically to prevent spread. The nurse is caring for an older adult client who just received news of a terminal diagnosis. 4 Diagnosis. While discussing care with the health-care provider, which unnecessary procedures will the nurse will suggest be discontinued? 1. The patient refuses to accept the diagnosis and refuses to adhere to treatment. Open Resources for Nursing (Open RN) especially cancer-related pain. Daily blood draws 2. the nurse speaks to the family about the client's wishes, condition, and terminal state. " b. In response to this data, what would be the appropriate nursing action? Select all that apply 1. The client has state-sponsored health insurance: While information about the client's health insurance coverage is important for billing and financial purposes, it may not be directly relevant to the discussion in an interprofessional team meeting unless it specifically impacts the client's access to healthcare resources or affects decision-making Study with Quizlet and memorize flashcards containing terms like n older adult client is diagnosed with cancer and fears death. Her nursing career has led her through many different specialties including inpatient acute care, hospice, home health, case management, travel nursing, and telehealth, but her passion lies in Study with Quizlet and memorize flashcards containing terms like 1. Every 3 hours 3. Which of the following actions should the nurse take? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has had a catastrophic stroke. Which of the following are realistic goals? a. The focus of care is on controlling symptoms and relieving pain. The client Nursing Diagnosis: Ineffective Airway Clearance related to limited chest movement, secondary to lung cancer, as evidenced by dyspnea, ineffective coughing, presence of abnormal breath sounds, and changes in respiration Study with Quizlet and memorize flashcards containing terms like The nurse is providing care to a group of terminally ill clients. Table of Contents. What teaching will the nurse include in the plan of care?, A client severely injured in a motor vehicle accident is rushed to the Study with Quizlet and memorize flashcards containing terms like The nurse has noted that a dying client is increasingly withdrawn and is often teary at various times during the day. Caring for a client who can kill other people C. B. Place soft restraints on arms. Clear the client's airway. What change should the nurse most expect the client to exhibit first? A) Decreased blood pressure B) Blurry vision C) Confusion D) Irregular pulse rate, A competent older adult client has a Administer an antiemetic 15. Which nursing intervention is appropriate for this client? A. Which of the following actions sheuld this nurst take? Allow the client unilimited time for. The client is competent and has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest. Previous question Next question. Which of the following statements by the dlient's partner indicatses maisdaptv coping? O "I don't understand why he can't get better and return to work. A nurse is caring for a client who has a new diagnosis of colon cancer. Which assessment finding suggests that the client has developed stomatitis?, A client A nurse is caring for a client who has terminal cancer and is receiving hospice care. A) To improve the communication between nurses about the client's care needs B) To ensure a standard approach is taken in the care of all Study with Quizlet and memorize flashcards containing terms like A patient is admitted with squamous cell lung cancer. The nurse demonstrates sensitivity to the significant other A nurse is caring for a client who has a recent diagnosis of a terminal illness. Make the decisions for the family c. What type of surgery does the oncologist offer?, A nurse caring for a client C) Most cases of ovarian cancer are considered to be random, with no obvious causation. What type of loss will she most likely experience?, A nurse is providing care to a terminally ill client. Shortly after the client receives the diagnosis, the nurse enters the client's room and the client begins yelling, "I have received terrible care here and no one cares about me. Make the client comfortable as specified in the client's living will. The family requests the diagnosis be withheld from the client. Which statement made by the client reflects the bargaining stage of grief? and more. A client is given a diagnosis of terminal cancer, and the health-care provider suggests hospice services for the family. C. The nurse enters the client's A nurse is caring for a client with a diagnosis of terminal cancer. Pain relief after appropriate nursing intervention, The nurse is caring for a terminally ill cancer patient who is receiving palliative care. "Which of the following interventions is the nurse's priority? A nurse is caring for a client in a mental health facility and overhears the client discussing plans to harm her father-in-law Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has just been told that stage IV colon cancer has recurred and metastasized to the liver. What is this Maegan Wagner is a registered nurse with over 10 years of healthcare experience. After an autopsy is prescribed, the client's family requests no autopsy be performed. The family member refuses to discuss the issue. The client is grieving and states she feels alone. I have to step over the cracks in Study with Quizlet and memorize flashcards containing terms like The nurse is giving report to an assistive personnel (AP) who will be caring for a client in hand restraints (safety devices). Study with Quizlet and memorize flashcards containing terms like A nurse in a urgent care center is caring for a client who is having an acute asthma exacerbation. What change should the nurse most expect the client to exhibit first? The family members have been tearful and sad since the diagnosis was given. In addition, cancer pain is a subjective experience and a complex symptom with varying factors (e. Discourage reminiscing b. "Hospice services assist the family with funeral planning. Lee notes that cancer can feel very isolating and, while many times patients are met with lots of support right after their cancer diagnosis, that support may dwindle over time. The findings show that the expected outcomes have been achieved. A nurse is working with a client who has received a terminal diagnosis. The nurse is caring for a 15-year-old client with myelogenous leukemia . Anticipatory Grieving related to loss of family member, as evidenced by sorrow. Which of the following actions should the nurse take? A nurse is educating a client who has a terminal illness about declining resucitation in a living will. Delivering end-of-life care to a client with terminal cancer in the home. ", A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. 4. When discussing the client's prognosis with the parents, the nurse should recognize which of the following responses by the Question: A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. A nurse is caring for a 48 year old client with terminal cancer that is concerned about maintaining confidentiality about his diagnosis. which of the following is necessary to legally change the client's code status to do-not-resuscitate (DNR)? A client has responded to the recent diagnosis of lung cancer by making extensive plans for overseas travel with the client's children, despite the fact that the oncologist has informed the client of the extremely poor prognosis. a nurse is caring for a client who recently received a diagnosis of terminal cancer. What is the reason for such a request, according to the Jewish culture? Choose the best answer. The nurse recognizes that the client may be experiencing which of Kübler-Ross's stages of grief?, An appropriate nursing diagnosis for the family of a client dying of cancer, People who are facing a terminal diagnosis may go through five stages of grieving originally outlined in 1969 by Elisabeth Kübler-Ross in her book, "On Death and Dying. " I don't know if I will be able to meet his physical needs" C. Diabetes mellitus, A Palliative care is care meant to improve the quality of life of patients who have a serious or life-threatening disease, such as cancer. The nurse is caring for a male client who had an inguinal herniorrhaphy 3 hours ago. " Which of the following is an appropriate response Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic cancer. This will help the nurse to understand how the client has coped with difficult situations in the past and to develop a plan of care that is tailored to the client's individual needs and preferences. The nurse is concerned that the wife is still grieving the death Study with Quizlet and memorize flashcards containing terms like 1. When the nurse enters the room to set up bath equipment, the client says, "I'm not an invalid, you know. the client's recent responses to pain and to pain medication B. Which clinical manifestations would the nurse expect to observe based on this diagnosis? A. Tiago Bittencourt Espindula Utilize this comprehensive nursing care plan and management guide to deliver effective care for patients with lung cancer. Due to the nature of the diagnosis and limited treatment options, Denial is experienced when the client denies that there is a significant medical illness or terminal diagnosis. A 58-year-old A nurse is caring for a cllent who has just received a terminal cancer diagnosis from his provider. Administering flu shots to elderly clients in an independent living center. The client's family wants to continue treatment, but the client would like to discontinue treatment and go home. Altered perineal sensation as a side effect of radiation therapy Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of terminal cancer. A 38-year-old male client with a 15-year history of ulcerative colitis c. A nurse is providing care to a client experiencing symptoms associated with terminal illness. Which of the following statements by the client indicates that the client is coping effectively with their diagnosis? o High fowlers o No more than 4-6 L removed A nurse is caring for a client who has cancer of the throat and is receiving radiation Study with Quizlet and memorize flashcards containing terms like When preparing the care plan for a dying client, it is important for the nurse to include a goal that addresses which needs? (Select all that apply. The client asks several questions about the nurse's religious beliefs related to death and dying. Which nursing diagnosis should the nurse use to best reflect this physiologic effect of leukemia? Instruct the client not to use a razor for shaving. " Answer: 4 Test-Taking Strategy Focus on what the question is asking, the factor to consider when planning pain relief, and consider the client’s diagnosis of terminal cancer. Nonverbal cues from the client 3. Medicines and “Don’t assume that someone with terminal cancer doesn’t want to do something or won’t be willing or able to join a gathering,” Lee says. Which statement by the nurse shows that she has It may be used to cure the cancer or to control malignancy when the tumor cannot be removed or when lymph node involvement is present, and it can be used prophylactically to prevent spread. A client is diagnosed with terminal cancer. When discussing the client's prognosis with her parents, the nurse should recognize which of the following responses by the parents as an example of rationalization. The nurse's intervention reflects which aspect of nursing?, The nurse cares for a client with hemiparesis following cerebrovascular accident (CVA). The nurse is caring for a client who has just died after a long diagnosis of dementia. The client's pain rating 2. 8 × 109/L) C) 8400 mm3 (8. "Our child wouldn't have this terminal diagnosis if the doctor had diagnosed the cancer 1. Which of Study with Quizlet and memorize flashcards containing terms like The nurse is taking care of a client with terminal lung cancer who is showing signs of imminent death. Ask if the client has any questions. Which of the following would be most appropriate to use as a means for managing the client's symptoms?, A client diagnosed with a terminal illness appoints her oldest son as the authorized The client who is most likely experiencing the anger stage of grief is the one who states, A nurse caring for a client with a terminal illness understands which of the following to be true? and more. (Select the stages of grief in order of occurrence. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which information regarding hospice care would the nurse include in the teaching plan? Select all that apply. Explain what breast a nurse is caring for a client who has terminal pancreatic cancer. Inability to carry out A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which statement by the nurse shows that she has understanding of the Kübler-Ross emotional responses to impending death? a. The nurse receives a telephone call from the laboratory who reports that the client's platelet count is 20,000 mm3. , tumor or treatment-related and non-cancer-related), Study with Quizlet and memorize flashcards containing terms like The son of an older adult client who has cognitive impairments approaches the nurse and says, "I'm so upset. Nurses have a responsibility to carry out and respect the client’s wishes to the extent they can. Which is the reason the nurse is experiencing difficulty with this task, A nurse is caring for an older adult client with terminal cancer. Identify the client using two identifiers. Which of the following actions should the nurse take? A client with a diagnosis of gastric cancer has been unable to tolerate oral food and fluid intake and her tumor location rules out the use of enteral feeding. While assisting with a subclavian vein central line insertion, the nurse notes the clients oxygen saturation rapidly dropping. The client tells the nurse that they would like to go home to be with family and loved ones. This knowledge can help them provide the best care possible and help the person with cancer say goodbye. Get out and leave me alone. Allow the client unlimited time for the grieving process. One of the participants begins to cry and is upset that his terminal cancer was not diagnosed earlier. Dim room lights. The nurse is caring for a client who just learned of his terminal diagnosis. 0 × 109/L) B) 5800 mm3 (5. the nurse's impression of the client's Study with Quizlet and memorize flashcards containing terms like A client who had been receiving palliative care for cancer has deteriorated and now needs end-of-life care. . Bleeding between periods Place the client in the supine position 4. Study with Quizlet and memorize flashcards containing terms like A nurse is setting goals for a client who has AIDS and is at the end of life. C) Smoking causes atrophy of the alveoli. " Study with Quizlet and memorize flashcards containing terms like A client receiving palliative care who has advanced dementia is nonverbal and restless and moans when the family attempts to touch or comfort the client. Call upon the client's spiritual advisor to manage care 3. What Learn more. " Ensuring that the family does not tell the patient that her condition is terminal D) Promoting adherence to the prescribed medication regimen, 3 Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with end-stage ovarian cancer who needs clarification on the purpose of palliative surgery. Discourage the client from forming new relationships. However, today the client is no longer complaining of pain but is quiet and isolative. Which situation would the nurse assess as reflecting Kübler-Ross's grief stage of "anger"? A. What would be the priority An appropriate nursing diagnosis for the family of a client dying of cancer, whose members have expressed sorrow over the forthcoming loss, would be: a. " Which awareness context occurs when the client is unaware of their terminal state, whereas others are aware?, When describing the term "grief" to a group of students, which of the following would the instructor include?, A Study with Quizlet and memorize flashcards containing terms like You are caring for a client with end-stage renal disease who reports persistent fatigue, pain, and nausea. The client Educating children on appropriate hand hygiene Providing nursing care to ill clients in their homes Administering flu shots to elderly clients in an independent living center Delivering end-of-life care to a client with terminal cancer in the home A client is given a diagnosis of terminal cancer, and the healthcare provider suggests hospice Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of terminal cancer. " The nurse responds to the son's concerns, gives him a list of types of living arrangements, A nurse is caring for an adolescent client who has a new diagnosis of terminal cancer. Help the client to find a local support group. Which statement made by the client reflects the bargaining stage of grief? +When planning care for a 55-year-old male client with newly diagnosed terminal pancreatic cancer, which nursing diagnosis would be most appropriate? the nurse finds that the client is providing care Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has social anxiety disorder. The client further explains that he is interested in being comfortable The nurse is caring for a client who recently found out he has a terminal illness. I might as well just die. After the physician leaves, the nurse remains to answer further questions Study with Quizlet and memorize flashcards containing terms like A nurse cares for a dying client. I often feel like I'm going to have a heart attack c. 1. The emergency department primary health care provider examines the client and asks the nurse to contact the medical examiner regarding an autopsy. Administer acetaminophen rectally for pain B. Know your choices for cancer care when coping with terminal cancer. Which The public health nurse identifies which of the following clients as being at high risk for developing cancer? Select all that apply. The client Ask the nurse about Study with Quizlet and memorize flashcards containing terms like A nurse is conducting a group counseling session for patients with liver cancer. They will be better off without me. A I still believe my cancer will go into remission. Around-the-clock dosing provides increased pain relief and decreases stressors associated with pain, such as anxiety and fear. The client states, "I want to control when and how I die. , A nurse is caring for a client who has a terminal illness. Basic human needs are a Study with Quizlet and memorize flashcards containing terms like 1. Dealing with anticipatory grief. Which assessment findings indicate to the nurse that the client might die within a few months? Select all that apply. " Based on this information, the nurse determines that the client has requested: voluntary euthanasia. A nurse is caring for a client who has terminal lung cancer. "Most clients start to gain weight during their treatment. Which of the following actions should take?Change the subject when the client becomes upset. A client diagnosed with terminal illness refuses to accept diagnosis and insists on seeking advice from other healthcare professionals. Nursing Diagnosis: Deficient Knowledge related to a new diagnosis of cancer as evidenced by the patient’s verbalization of “I want to know more about my new diagnosis and care” Desired Outcome: At the end of the health teaching session, the patient will be able to demonstrate sufficient knowledge of cancer and its management. The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client following the loss of a partner due to a terminal illness. The hospice nurse is caring for a client who has been diagnosed with terminal cancer. Client is tearful and states that they believe the diagnosis A nurse is caring for an adolescent client who has a new diagnosis of terminal cancer. Which is the appropriate nursing action?, The nurse is preparing to care for a dying client and several family members are at the client's bedside. Unlock. Which of the following actions should the nurse take first?•Reflect on her own opinion about withholding the diagnosis from him. Anorexia b. Nursing questions and answers. Implementation is the phase of the nursing process where the nurse puts the care plan into action. The client will experience a weight gain of one to two pounds per week. Extreme stress caused by the diagnosis of cancer 4. A nurse is caring for a client with terminal cancer and is receiving palliative care. the nurse will teach you to care for it. When a 76-year-old client diagnosed with terminal cancer expresses hopelessness and despair to the nurse, the nurse should: listen A nurse is caring for a client who is in the terminal stage of metastatic lung cancer. Understanding Your Loved One's Wishes for Care. Every 2 hours 2. Heart disease 3. Planning the transition to end-of-life care 28. Nurses play a crucial role in the frontlines of patient care and often will be involved closely in helping patients come to terms with a fatal illness. Discourage the client from forming new relationships. Which food should the nurse recommend?, A client has been receiving chemotherapy to treat cancer. The nurse decides that an appropriate nursing diagnosis is "anxiety related to lack of control over the health circumstances. Promoting Effective Coping Abilities. Which action would the nurse take initially to advocate for the client and achieve resolution when caring for a client with terminal cancer who desires to receive hospice care at home rather than Study with Quizlet and memorize flashcards containing terms like The nurse cares for the client who expresses apprehension about the diagnosis of terminal lung cancer. Feelings of hopelessness D. 6. The client tells the doctor that he and his family have accepted the terminal diagnosis of pancreatic cancer. " Study with Quizlet and memorize flashcards containing terms like A woman has had a breast removed to treat cancer. Instruct the client to actively What are nursing interventions when administering continuous enteral feedings?, A client is demonstrating heat stroke manifestations. shortly after the client receives the diagnosis, the nurse enters the clients room and the client begins yelling "i have received terrible care here and no one cares about me. " Which nursing intervention would be most appropriate?, A nurse is caring for a client whose cultural background is different from the nurse's A nurse on a medical-surgical unit is caring for a client who has a new diagnosis of terminal cancer. The spouse of the client intends to stay near the client when the ventilator is removed. Which of the following statement indicates that the client is demonstrating effective coping. Here are some issues to consider. this action is most likely derived from which nursing obligation? The nurse is assisting in caring for a client with a diagnosis of bladder cancer who recently received chemotherapy. Hyperthyroidism 4. Which nursing action is most appropriate when establishing the plan of care for this client?, A unit-based infection 1. Which phenomenon has most contributed to this increased focus of care of the dying? A) Increased incidence of infections and acute illnesses B) Increased focus of health care Study with Quizlet and memorize flashcards containing terms like The licensed practical/vocational nurse is caring for a client at the end stages of terminal cancer. The family of the client is voicing concerns about knowing the manifestations of approaching death. The hospice team usually includes doctors, nurses, home health aides, social workers, clergy or other counselors, and trained volunteers. " Study with Quizlet and memorize flashcards containing terms like A seasoned hospice nurse is mentoring a new nurse on the unit. Study with Quizlet and memorize flashcards containing terms like The husband of a client with terminal cancer is afraid of hurting his wife We can connect you with trained cancer information specialists who will answer questions about a cancer diagnosis and provide guidance and a compassionate ear. " Which of the following actions should the nurse take? Determine the client's definition of a "good death. Which nursing assessment is the priority for documentation? The husband of a client with terminal cancer is afraid of hurting his wife during sexual intercourse. The nurse is caring for a client diagnosed with terminal cancer who wishes to use meditation and prayer to be cured. " These stages are: denial, anger, bargaining, depression, and acceptance. Osteoarthritis 2. a nurse is caring for a client with terminal cancer. The nurse is caring for a client who recently found out he has a terminal illness. Which of the following Study with Quizlet and memorize flashcards containing terms like 1. The nurse caring for a 79-year-old man who has just returned to the medicalsurgical unit following surgery for a total knee replacement Study with Quizlet and memorize flashcards containing terms like A nurse is working in a rural health clinic that serves a large Amish population. Transcribed image text: A nurse is caring for a cllent who has just received a terminal cancer diagnosis from his provider. This can be a time to focus on physical, spiritual, emotional, and family concerns A nurse is caring for a client with a terminal illness. You are caring for an older adult client with rectal cancer who is Study with Quizlet and memorize flashcards containing terms like The experience of parting with an object, person, belief, or relationship that one values is defined as:, During an interview of the client at the community clinic, the nurse finds that the client is providing care for a parent, who is terminally ill. "I don't understand why he can't get better and return to walk" B. List the pertinent A nurse is caring for a Jewish client with a terminal illness who is on a ventilator. The nurse is preparing to care for a dying client and several family members are at the client's bedside. This nurses actions do not constitute diagnosis. Facial edema in the morning 2. Most cancer patients experience pain []; in particular, more than half of patients with advanced, metastatic, or terminal cancer experience pain []. What to expect when the person with cancer gets close to death, how to provide the best care possible, how to help the person with cancer say goodbye, and what to do after The nurse is caring for a client who just learned of his terminal diagnosis. Weight loss E. Bathe your loved one as they can tolerate it - this could be a Question: e is caring for a client with a diagnosis of terminal cancer. The patient asks the nurse why he has had to keep getting larger doses of his pain medication, although they do not seem to affect him. The nurse observes the client's family assisting with all ADLs. There are a This law requires doctors and nurse practitioners (NPs) to discuss care options with people with a terminal illness. The nurse notes that the client is hostile and yelling. Anorexia and nausea C. How frequently should the nurse instruct the AP to check the tightness of the restrained hands? 1. as the “death rattle,” can be a distressing and frightening symptom for family members and those involved in the client’s care. Offer the client advice The nurse is taking care of a client with terminal lung cancer who is showing signs of imminent death. The client states, "If I promise to change my bad habits, the cancer will go away. A terminal cancer diagnosis brings up a number of decisions to make. Upon assessment, the nurse finds that the client has a history of signs and symptoms of depression since the spouse's death 4. The oncology nurse plays a vital role in coordinating the multiple and complex technologies now commonly employed in cancer diagnosis and treatment. A nurse is conducting discharge planning for an at risk older adult client. Study with Quizlet and memorize flashcards containing terms like Which situation is most likely to warrant an autopsy?, The nurse is providing A nurse is caring for a client in the depression stage of dying. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of chronic kidney disease. Which of the following findings should the nurse identify as a manifestation of impeding death? A nurse is caring for a client who has been diagnosed with cervical cancer. What is the best nursing diagnosis for this family? A) Grieving B) Hopelessness C) Study with Quizlet and memorize flashcards containing terms like Some clients self-prescribe over-the-counter glucosamine to help relieve joint pain and stiffness. The mother states, "I feel numb and can't believe this is happening to us. This can help the nurse understand how the client has dealt with difficult situations in the past and can provide insight into how the client may cope with their current diagnosis. When they come to visit tomorrow, just tell them I'm not up for visitors. Which type of medication should the nurse anticipate administering to the patient for reducing airway obstruction, The nurse performs a nursing assessment for a patient who may have lung cancer. Which responses given by the nurse are appropriate? Select all that apply. " Which interpretation of the clients behavior is most justifiable?, Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a diagnosis of breast cancer who is immunosuppressed. What is the role of the nurse to advocate Answer. Include regular visits throughout the day into the client's care plan 4. The nurse is caring for a client who experiences severe nausea and vomiting after chemotherapy. Keep conversations quiet. A 28-year-old female client with a body mass index of 38 kg/m² b. Analysis consists of considering assessment information to derive the appropriate nursing diagnosis. The nurse should identify which of the following as an indication of hopelessness? A nurse is caring for a client who recently gave birth to her first child. Which question will the nurse ask when developing this client's plan of care? a. The nurse speaks to the family about the client's wishes, condition, and terminal state. This coordination encompasses direct patient care; documentation in the medical record; participation in therapy; symptom management; organization of referrals to other healthcare providers; Study with Quizlet and memorize flashcards containing terms like , The nurse visits the home of a client with terminal illness. The student has three red, scaly patches of skin on his arms and chest. Helping patients. After the physician leaves, the nurse remains to answer further questions so that the client can Caring for someone with terminal cancer often means making plans and decisions for care and preparing yourself and others for the future. Which nursing intervention would demonstrate caring? Correct1 Touch 2 Reminiscence 3 Reality orientation 4 Therapeutic communication, Which question is the most therapeutic to ask the parents of a 3-year The nurse is caring for a patient with metastatic bone cancer. The family is hesitant and asks the nurse what hospice can provide. The nurse believes the primary nursing diagnosis for this client is The young adult client is awaiting diagnostic test results for cancer. The client's blood pressure is too low to auscultate and must be obtained by palpation. Which of the following actions should the nurse take? explain to the client why this information will be shared. Nurses Notes Day 1 0930: Client is sitting on side of bed with daughter at bedside. 5. Palliative care is an approach to care that addresses the A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. She earned her BSN at Western Governors University. To maintain the client's sense of self-worth during the end of life while working with a client in an inpatient hospice unit, the nurse should: 1. But the person’s care continues, with an emphasis on improving their quality of life and that of their loved ones, and making them comfortable for the following weeks or months. The family is unsure whether to go home for rest or spend the night with the client. An elderly client has just been told of having bladder cancer that will result in death within 3 months. Leukorrhea D. Routine bed baths 3. " d. What would be the most appropriate assessment of the client's pain? A. Leave the client alone to deal with final affairs 2. the family would like the client to continue aggressive treatment but the client has told the nurse that he would prefer comfort care. Nausea d. Which finding would alert the nurse to the fact that the client is dying? Select all that apply. The nurse explains to the client that a care plan will be used for which reason(s)? Select all that apply. What signs and symptoms would the nurse recognize as indications of a possible oncological emergency? Select all that apply. Study with Quizlet and memorize flashcards containing terms like 1 . After the physician leaves, the nurse remains to answer further questions 11. Which is the best way to involve the family with the client's care?, The licensed practical/vocational nurse's neighbor and friend stops the nurse as he is walking in to A nurse is caring for a client who has terminal pancreatic cancer. " "I just want you to give me something to get this over with soon. " The nurse is caring for a client whose spouse passed away several years ago. Which statement conveys empathy by the nurse? but the significant other does not want the client to know the diagnosis. The client will verbalize an understanding of the mode of disease transmission. Discuss the client's prior coping mechanisms. a. This nurse is assigned to care for a client admitted with pneumonia but does not encourage the client to cough because the client also has esophageal Study with Quizlet and memorize flashcards containing terms like A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and bilateral salpingo-oophorectomy. All steps must be used) a. The last nurse is caring for a child who has a diagnosis of terminal brain cancer. Which of the following statements by the nurse shows that she has understanding of the Kübler-Ross emotional responses to impending death? Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for an adult client with severe hearing impairment who uses sign language and lip reading for communication and who has a new diagnosis of cancer. Gain valuable insights on nursing A client with terminal cancer arrives at the emergency department dead on arrival (DOA). Decreasing Tolerance to Activity. Each individual client is different, and what works best for one client might not work A nurse is caring for a client who has terminal ovarian cancer and has a do not resuscitate (DNR) prescription. Every 4 hours 4. " Which of the following is an appropriate response The nurse is caring for a client who just learned of his terminal diagnosis. Which body A nurse is caring for a client who has a new diagnosis of terminal cancer. While offering end-of-life nursing care to a 72-year-old client with late-stage bone cancer, the nurse visits the The nurse is caring for a client diagnosed with a stage IV cancer. B) It increases in The nurse is caring for a client who just learned of his terminal diagnosis. Anemia B. 3. The nurse determines the client's lower abdomen is distended The nurse is caring for a woman with terminal breast cancer. A terminal illness is one in which death is In this study, we comprehensively mapped the non-pharmacological support provided by nurses for cancer pain and identified 22 types of nursing support from 72 1. The nurse knows that this client will likely be most concerned with which of the following? a. nonverbal cues of the client C. The client has two school-age children Naxlex. Applying oxygen, The family of a client with terminal Study with Quizlet and memorize flashcards containing terms like A nurse cares for a dying client. Which of the following would the nurse expect to include in the client's plan of care?, The physician is attending to a 72-year-old patient with a Study with Quizlet and memorize flashcards containing terms like Glaser and Strauss (1965) identified four "awareness contexts. 52, PaCO2 30 mmHg, and An adolescent in the terminal stage of leukemia cries out for more pain medicine. Assess the client for pain in joints. Which of the following rationales for self-care should the nurse communicate to the family?, A nurse is caring for a client who has stage 4 lung cancer and is 3 days A nurse is caring for a client who has a new diagnosis of terminal cancer. Identify the sequence of Engel's five stages of grief that the nurse should expect the client to experience. The nurse's impression of the client's pain 4. A nurse is caring for a 48 year old client with terminal cancer that is concerned about maintaining confidentiality about his diagnosis 1. 4 Providing nursing care to ill clients in their homes. Study with Quizlet and memorize flashcards containing terms like The nurse is taking care of a client with terminal lung cancer who is showing signs of imminent death. " 2. Caring for a client with an infectious terminal The nurse is caring The most appropriate determination of the client's pain should include which assessment? 1. These may be about what type of care or treatment to The priority intervention for a client with a new diagnosis of terminal cancer is to discuss the client's prior coping mechanisms. Basic human needs are a priority for the dying person. Often, people feel anticipatory grief when they know someone they care about is seriously ill. Blood pressure is correct. What is the role of the nurse to advocate for this client? 2. Which of the following would be most appropriate to use as a means for managing the client's symptoms? - Physician's orders - Client's goals - Length of required Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is newly diagnosed with terminal cancer. Which finding indicates to the nurse that the standard for ongoing care has been maintained?, The nurse is preparing to care for a dying client, and several family members are at the The caregiver should know what to expect and what they can do as the person with cancer gets close to death. "Sometimes a person returns to a previous stage. D) The majority of women who get ovarian cancer have a family history of the disease. Turning the client 4. Lung cancer treatment can be Get to learn about the nursing care management for patients with cancer in this study guide. Massage Study with Quizlet and memorize flashcards containing terms like A hospice nurse has developed a care plan for a client with liver cancer. A nurse is caring for a client who is newly diagnosed with terminal cancer. Which manifestation of dying does the nurse treat first? a. Managing Pain. Chat live online. After the physician leaves, the nurse remains to answer further questions so that the client can make an informed decision about further treatment. The goal of palliative care is best described as providing clients with life-threatening illnesses a dignified quality of life through which means? A. I want you to help me. A nurse is caring for a client who is nulliparous and in the first stage of labor. Disclosure of the client's condition D. "Clients lose their hair, but it usually grows back nice and thick. When discussing the client's prognosis with the parents, the nurse should recognize which of the following responses by the parents as an example of rationalization? "Our child wouldn't have this terminal diagnosis if the doctor had diagnosed the cancer sooner. The client breaks down in tears and shares with the nurse "I should just end it now so my kids can start moving on with their lives. Play soothing music. Instruct the family to avoid Social workers, including visiting nurses, those who work with older adults, and others may be able to help you talk to your loved one about these decisions. b. It is important for the nurse to understand the grieving process for which reason?, The nurse is caring for a dying client in a hospice setting. A nurse is preparing to document client care in the electronic health record for a client who is postoperative. Facilitate the arrangements to Nursing Interventions for Breast Cancer: Rationales: Assess the patient’s readiness to learn, misconceptions, and blocks to learning (e. A terminal illness is one in which death is expected within 6 months. C I need to return to work as soon as my treatment is complete Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a terminally ill cancer client who is being transferred to hospice care. Epidemiology; Pathophysiology; Detection and Prevention of Cancer; Diagnosis of Dr. Which aspect would be most important for the nurse to integrate into the program to promote its success? Select all that apply. Which types of referral will the nurse make to assist this patient and family at home? A) A rehabilitation center B) Hospice C) Adult day care D) Physical therapy, A patient diagnosed with The family of the client tells the primary health care provider that the client had terminal cancer. A. the client is competent and has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest. , The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer. Every 30 The nurse is caring for a client with terminal cervical cancer. which of the following actions is the nurse's highest priority? Initiating oxygen therapy Providing immediate rest for the client Positioning the client in high-Fowler's Administering a Study with Quizlet and memorize flashcards containing terms like In the past three to four decades, nursing has moved into the forefront in providing care for the dying. Study with Quizlet and memorize flashcards containing terms like A client has died, and the nurse asks a family member about the funeral arrangements. The client is a devoted Catholic but refuses to attend church and The nurse, caring for a client who has terminal cancer, finds that the client is extremely restless. The oncologist offers the client the option of surgery to treat the progression of this disease. Anticipatory grief means Science. Apply supplemental oxygen, A nurse is caring for a client who is Receiving hospice care. The client asks, "What would happen if I arrived at the emergency department and I A nurse is caring for an adolescent client who has a new diagnosis of terminal cancer. Providing Emotional Support and Assisting in Grieving. Which of the following interventions should the nurse included in the plan of care? A. , A nurse is caring for a client who has terminal cancer. Which therapeutic techniques should the nurse use when communicating with the family? Select all that apply. The client who is most likely experiencing the anger stage of grief is the one who states, The hospice nurse is assessing the wife of a client who died 14 months ago. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has terminal lung cancer. The role of the nurse in advocating for a 48-year-old client with terminal Stop the feeding and remove the NG tube as specified in the client's living will. developing A nurse is caring for a client who has a terminal illness and states that they want to experience a "good death. The nurse enters the client's room and finds the client sitting in the dark crying. , A recently widowed client say, "His death has complicated my life even more than the hassles he caused when he was alive!" Which term would describe the marital Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a community class about how to decrease the risk of cancer. Which action by the nurse is likely to be most helpful in reducing this client's fears Study with Quizlet and memorize flashcards containing terms like All nurses care for clients who are grieving. D) Smoking damages the ciliary cleansing mechanism. Identify three (3) manifestations of this condition. The care plan focuses on providing palliative care for this client. Change the subject when the client becomes upset. Which of the following statements by the client's partner indicates maladaptive coping? A. The team may also include speech, physical, and Question: Anurse is caring for a client whose family just learned that he has terminal pancreatic cancer. Use chamomile aromatherapy. Complete the following Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has a terminal cancer and has a prescription for morphine. Help the client into a wheelchair before the transporter arrives. The nurse is developing a program to address common health promotion strategies. I can take care of myself. Learn about palliative care, hospice care, and trying a clinical trial. Teach the client to use progressive relaxation techniques. Which of the following manifestations should the nurse identify for the client to be a potential organ donor?, A nurse is caring for a client who has terminal ovarian cancer and has a DNR prescription. During admission of a patient diagnosed with metastatic lung cancer, what should the nurse assess for as a key indicator of clinical depression related to terminal illness? A. Click to highlight the information from the nurse's notes that indicate the client is actively dying. " Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a dying client. A nurse is caring for a client who has a STI that must be reported to the state health department. Start cardiopulmonary resuscitation. a support group B. The client's blood gas values are pH 7. What type of grief is the client experiencing?, The nurse is caring for a woman with terminal breast cancer. A client who was recently informed that a biopsy confirmed metastatic liver cancer states, "I think the doctors are wrong about my diagnosis. 2. A nurse is caring for a 48-year-old client with terminal cancer that is concerned about maintaining confidentiality about his diagnosis. denial of diagnosis or poor lifestyle habits)To address the patient’s cognition and mental status towards the new diagnosis and to help the patient overcome blocks to learning. Complete the following sentence by using the list of options. Which of the following interventions is the priority? Develop a list of goals with the client. focuses on the purposeful assessment of a client coping with a terminal diagnosis? A nurse is caring for a Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a hospitalized client with a diagnosis of heart failure who suddenly reports shortness of breath and dyspnea during activity. What is the most likely psychosocial purpose of this patient's strategy? A) The patient may be trying to protect Study with Quizlet and memorize flashcards containing terms like The nurse identifies a nursing diagnosis of Imbalanced nutrition: less than body requirements for a terminally ill client who is near the end of life. Dysfunctional Grieving related to the loss of family member, as manifested by behaviors indicating The nurse is aware that faith is best defined as:, The nurse is caring for a critically ill client, who informs the nurse that there is a conflict between her spiritual beliefs and a proposed health option. , The nurse is caring for a patient who has just been told that her ovarian cancer is terminal and that no curative options remain. , The client is terminal and has unrelieved and The hospice nurse is caring for a 40-year-old client with stage IV stomach cancer. A 48-year-old male client whose father has a history of colorectal cancer d. When the nurse comes to assist the client, the client says, "What's the use. The family of the client tells the nurse that they do not want an autopsy performed. " A nurse is caring for a client who recently received a diagnosis of a terminal cancer. , An The nurse is caring for a client with lung cancer and bone metastasis. His pain is increasing in severity. Which of the following rationales for self-care should the nurse communicate to the family? A. The health care provider says I have 4 days to decide on where my dad is going to live. A multidisciplinary Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with cancer who is experiencing pain. The nurse acts in the role of client advocate when protecting the client's legal and ethical rights. A nurse is caring for a client who is expressing anger about their diagnosis of colorectal cancer. "Is your Study with Quizlet and memorize flashcards containing terms like An older adult client diagnosed with terminal cancer has difficulty providing self care due to fatigue and dyspnea. A nurse caring for a client with a terminal illness understands which statement from NUR 222 at CUNY Borough of Manhattan Community College. 5 Outcome Identification. Science; Nursing; Nursing questions and answers; A nurse is caring for a 48 year old client with terminal cancer that is concerned about maintaining confidentiality about his diagnosis what is the role of the bUrse to advocate for this client A nurse is caring for an adolescent client who has a new diagnosis of terminal cancer. A hospice nurse is caring for a client with terminal cancer. " This law requires doctors and nurse practitioners (NPs) to discuss care options with people with a terminal illness. Study with Quizlet and memorize flashcards containing terms like 1. Which of the following statements by the client should indicate to the nurse ent is ready to hear information regarding palliative care? "I am ready to learn about chemotherapy to help cure my cancer. What action should the nurse recommend?, The health care provider recommends that parents have their daughter vaccinated with HPV vaccine. The family would like the client to continue aggressive therapy to treat the cancer, but the client has voiced to the nurse that, after much thought, he does not want to pursue any further treatment. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs Study with Quizlet and memorize flashcards containing terms like A patient is diagnosed with a terminal illness and has been given less than 6 months to live. Cachexia C. Inform the family that he has a legal right to Study with Quizlet and memorize flashcards containing terms like A home hospice client, who has Medicare, is experiencing extreme pain at home and is refusing to receive inpatient care due to concerns over the cost of inpatient care. Based on this laboratory value, the nurse revises the plan of care and suggests including which interventions? Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a hospitalized client. A graduate nurse is co-assigned with an experienced registered nurse (RN) to provide care for a c. , A client in the final stages of terminal cancer tells the nurse: "I wish I could just be allowed to die. Which condition should the nurse identify as a reason for a client to reconsider taking this medication? 1. Which of the following is necessary to legally change the client's code status to do-not-resuscitate Nurses are at the front line of patient care and can make an enormous difference to terminally ill patients' lives, both in terms of the physical care and the For example, a terminally ill patient may have advanced cancer and a life expectancy of mere weeks, while other patients may be living with a terminal illness for years before they Nursing; Nursing questions and answers; 3 13 UP8 Page: 15 of 7o A nurse is caring for a client who recently received a diagnosis of terminal cancer. Hair loss, A nurse plans care for a client who is nearing end of life. Which statements by other members of the group should be corrected by the nurse?, A nurse is caring for a Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a new diagnosis of cancer, and allows the client to verbalize fears relating to how to tell the children. Which of the following is necessary to legally change the client's code status to do-not-resuscitate (DNR)? Explain the x-ray procedure to the client. The nurse observes the client's family assisting with all ADL's. An appropriate nursing diagnosis for the family of a client dying of cancer, whose members have expressed sorrow over the forthcoming loss, would be: The nurse is caring for a client who recently found out he has a terminal illness. B I should start making my funeral arrangements. Introduction and background. Which statement by the nurse shows that she has understanding of the Kübler-Ross emotional responses to impending death? A) "The process is the same from person to person. Which of the following actions should the nurse take? Discourage the client forming new relationships Change the subject when the client becomes upset Offer the client advice about various treatment choices Allow the client unlimited time for the Once a terminal cancer diagnosis is made, some doctors may want to conduct additional tests to get a better idea of the extent of the cancer. which of the following client statements should the nurse expect? a. The mother of the child asks the Study with Quizlet and memorize flashcards containing terms like A client with chronic obstructive pulmonary disease (COPD) tells the nurse, "I no longer have enough energy to make love to my husband. ) a) Use of coping strategies b) Urinary elimination c) Expression of feelings d) Management of pain e) Nutritional therapy, The experience of Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring ongoing care for a potential organ donor who has been diagnosed with brain death. " the nurse should recognize that the client is demonstrating whoch of the following? The nurse is caring for a client who recently found out he has a terminal illness. To help the nurse identify the client's possible coping responses, which of the following would be most important for the nurse to understand about spirituality? A) It varies in different situations. Which intervention does the nurse anticipate from the healthcare provider? 1 Advising sunscreen and special clothing 2 Topical application of steroids 3 Potassium permanganate baths 4 Debridement of necrotic plaques, A nurse A nurse is caring for a 48-year-old client with terminal cancer that is If there are concerns about breaches of confidentiality or unauthorized disclosure of the client's diagnosis, the nurse should advocate on behalf of the client to address these issues. c. The newborn is crying and the client states, " I can't seem to do anything right. the grieving process. It can be given with or without curative care. Which types of therapeutic communication should the nurse employ? The nurse is caring for a child with a diagnosis of Kawasaki disease. The nurse assists a client in communicating end-of-life decisions to the provider. Which statement by the client A nurse is caring for a client who has received a terminal diagnosis. The client registers for an iron-man marathon to be held in 9 months. When the nurse enter the room to set up bath equipment, the client says, "I'm not an invalid, you know. The family Study with Quizlet and memorize flashcards containing terms like A client presents with extensive lesions due to psoriasis. Pain c. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has terminal pancreatic cancer. Open Resources for Nursing (Open RN) 4. Frustration with pain B. Correct1 Chemotherapy 2 Repositioning 3 Regular oral care A nurse is caring for a client with terminal cancer. Instruct the client to take diphenoxylate/atropine 5 mg PO twice a day. g. The nurse agrees to be present while the client tells the family. After assisting the client to bed and placing the client in high fowler's position, the nurse should take which immediate action?, The nurse is The priority intervention for a client with a new diagnosis of terminal cancer is to discuss the client’s prior coping mechanisms. When a person’s health care team determines that the cancer can no longer be controlled, medical testing and cancer treatment often stop. Which outcome should the nurse teach the client is the goal of palliative surgery? A Cure of the cancer B Relief of symptoms or improved quality of life C Allowing other The nurse is caring for a child whose parents refuse a life-saving surgery for the child, stating that surgeries are against their belief system. Refuses to eat Sleeps most of the day Reports feeling fatigued Onset of generalized weakness Does not want to visit A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. . kndtn rruf rvggz ljpbja jszxt hmzqap thkx bcpeep gycw kerr