A nurse is caring for a client with a diagnosis of terminal cancer. 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. Analysis consists of considering assessment information to derive the appropriate nursing diagnosis. 3. " d. Massage Study with Quizlet and memorize flashcards containing terms like A hospice nurse has developed a care plan for a client with liver cancer. 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. 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. 5. All steps must be used) a. The nurse's intervention reflects which aspect of nursing?, The nurse cares for a client with hemiparesis following cerebrovascular accident (CVA). , 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. Open Resources for Nursing (Open RN) 4. 6. 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. A I still believe my cancer will go into remission. Administer acetaminophen rectally for pain B. , 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 of the following actions should take?Change the subject when the client becomes upset. Administering flu shots to elderly clients in an independent living center. 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. "Most clients start to gain weight during their treatment. Often, people feel anticipatory grief when they know someone they care about is seriously ill. 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. 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. Which of the following interventions is the priority? Develop a list of goals with the client. The health care provider says I have 4 days to decide on where my dad is going to live. Facilitate the arrangements to Nursing Interventions for Breast Cancer: Rationales: Assess the patient’s readiness to learn, misconceptions, and blocks to learning (e. The client reports that he had to increase the dose of morphine this week to obtain pain relief. , The nurse is caring for a patient who has just been told that her ovarian cancer is terminal and that no curative options remain. I struggle to control my constant worry d. Make the decisions for the family c. 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. 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. 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. Turning the client 4. D) Smoking damages the ciliary cleansing mechanism. Bleeding between periods Place the client in the supine position 4. Facial edema in the morning 2. I want you to help me. 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. 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. 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. What would be the most appropriate assessment of the client's pain? A. " Which of the following actions should the nurse take? Determine the client's definition of a "good death. 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. His pain is increasing in severity. " 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. . Open Resources for Nursing (Open RN) especially cancer-related pain. Which situation would the nurse assess as reflecting Kübler-Ross's grief stage of "anger"? A. 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. Which of the following are realistic goals? a. the client is competent and has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest. What is this Maegan Wagner is a registered nurse with over 10 years of healthcare experience. The family of the client tells the nurse that they do not want an autopsy performed. Transcribed image text: A nurse is caring for a cllent who has just received a terminal cancer diagnosis from his provider. Osteoarthritis 2. C) Smoking causes atrophy of the alveoli. The nurse observes the client's family assisting with all ADL's. Nursing questions and answers. Hair loss, A nurse plans care for a client who is nearing end of life. 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. a. What is the role of the nurse to advocate for this client? 2. Understanding Your Loved One's Wishes for Care. Which statement conveys empathy by the nurse? but the significant other does not want the client to know the diagnosis. Which question will the nurse ask when developing this client's plan of care? a. c. 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. 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. Gain valuable insights on nursing A client with terminal cancer arrives at the emergency department dead on arrival (DOA). , A client in the final stages of terminal cancer tells the nurse: "I wish I could just be allowed to die. The last nurse is caring for a child who has a diagnosis of terminal brain cancer. 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. Discourage reminiscing b. 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. 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. The nurse is caring for a client who has just died after a long diagnosis of dementia. 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. Which of the following interventions should the nurse included in the plan of care? A. The family Study with Quizlet and memorize flashcards containing terms like A client presents with extensive lesions due to psoriasis. 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. Which of the following actions should the nurse take? explain to the client why this information will be shared. The nurse would consider implementing neutropenic precautions if the client's white blood cell count was which value? A) 2000 mm3 (2. The nurse is caring for a client diagnosed with terminal cancer who wishes to use meditation and prayer to be cured. 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. While discussing care with the health-care provider, which unnecessary procedures will the nurse will suggest be discontinued? 1. The nurse explains to the client that a care plan will be used for which reason(s)? Select all that apply. 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. Anorexia b. Every 3 hours 3. Explain what breast a nurse is caring for a client who has terminal pancreatic cancer. Providing Emotional Support and Assisting in Grieving. " Study with Quizlet and memorize flashcards containing terms like A woman has had a breast removed to treat cancer. The patient refuses to accept the diagnosis and refuses to adhere to treatment. the family would like the client to continue aggressive treatment but the client has told the nurse that he would prefer comfort care. The nurse observes the client's family assisting with all ADLs. Heart disease 3. The nurse notes the client's blood pressure is 140/88, pulse is 92 beats per minute, and respirations 36. 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. Which manifestation of dying does the nurse treat first? a. Dealing with anticipatory grief. Which food should the nurse recommend?, A client has been receiving chemotherapy to treat cancer. What type of loss will she most likely experience?, A nurse is providing care to a terminally ill client. Table of Contents. Tiago Bittencourt Espindula Utilize this comprehensive nursing care plan and management guide to deliver effective care for patients with lung cancer. In response to this data, what would be the appropriate nursing action? Select all that apply 1. B I should start making my funeral arrangements. 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 goal of palliative care is best described as providing clients with life-threatening illnesses a dignified quality of life through which means? A. 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. What is the reason for such a request, according to the Jewish culture? Choose the best answer. The spouse of the client intends to stay near the client when the ventilator is removed. Which approach by a nurse is caring for a client who has a new diagnosis of colon cancer. Make the client comfortable as specified in the client's living will. Which The public health nurse identifies which of the following clients as being at high risk for developing cancer? Select all that apply. Basic human needs are a Study with Quizlet and memorize flashcards containing terms like 1. Complete the following sentence by using the list of options. Planning the transition to end-of-life care 28. When they come to visit tomorrow, just tell them I'm not up for visitors. 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. Managing Pain. What signs and symptoms would the nurse recognize as indications of a possible oncological emergency? Select all that apply. Use chamomile aromatherapy. Lung cancer treatment can be Get to learn about the nursing care management for patients with cancer in this study guide. 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. , An The nurse is caring for a client with lung cancer and bone metastasis. Unlock. 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. 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. Click to highlight the information from the nurse's notes that indicate the client is actively dying. Helping patients. 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. 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. Introduction and background. Get out and leave me alone. Which information regarding hospice care would the nurse include in the teaching plan? Select all that apply. 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. Blood pressure is correct. Decreasing Tolerance to Activity. What action should the nurse recommend?, The health care provider recommends that parents have their daughter vaccinated with HPV vaccine. 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. 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 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. Pain relief after appropriate nursing intervention, The nurse is caring for a terminally ill cancer patient who is receiving palliative care. Every 2 hours 2. A 38-year-old male client with a 15-year history of ulcerative colitis c. The nurse assists a client in communicating end-of-life decisions to the provider. 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. 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. 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. 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. 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. " 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. " b. A nurse is caring for a client who has a STI that must be reported to the state health department. 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. 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. A nurse is caring for a client with terminal cancer and is receiving palliative care. Epidemiology; Pathophysiology; Detection and Prevention of Cancer; Diagnosis of Dr. 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. Which assessment findings indicate to the nurse that the client might die within a few months? Select all that apply. " 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. Promoting Effective Coping Abilities. ", A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The care plan focuses on providing palliative care for this client. Hyperthyroidism 4. Which finding would alert the nurse to the fact that the client is dying? Select all that apply. 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. Chat live online. 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. Which responses given by the nurse are appropriate? Select all that apply. "Our child wouldn't have this terminal diagnosis if the doctor had diagnosed the cancer 1. The client registers for an iron-man marathon to be held in 9 months. I am embarrassed to eat in public b. A nurse is providing care to a client experiencing symptoms associated with terminal illness. An elderly client has just been told of having bladder cancer that will result in death within 3 months. 5 Outcome Identification. 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. Anemia B. A nurse is caring for a 48 year old client with terminal cancer that is concerned about maintaining confidentiality about his diagnosis. 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. 8 × 109/L) C) 8400 mm3 (8. 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. Assess the client for pain in joints. The client's family wants to continue treatment, but the client would like to discontinue treatment and go home. 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. Select the Live Chat button at the bottom of the page . Caring for a client who can kill other people C. the client's recent responses to pain and to pain medication B. A 48-year-old male client whose father has a history of colorectal cancer d. 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. Include regular visits throughout the day into the client's care plan 4. Help the client to find a local support group. 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. " "I just want you to give me something to get this over with soon. They must talk about your prognosis, treatment options, including the risks and benefits, and pain and symptom relief. 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. Study with Quizlet and memorize flashcards containing terms like A nurse is providing care to a client experiencing symptoms associated with terminal illness. Upon assessment, the nurse finds that the client has a history of signs and symptoms of depression since the spouse's death 4. A nurse is conducting discharge planning for an at risk older adult client. " 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. This nurses actions do not constitute diagnosis. The client states, "I want to control when and how I die. 0 × 109/L) B) 5800 mm3 (5. A graduate nurse is co-assigned with an experienced registered nurse (RN) to provide care for a c. A nurse is caring for a client who is newly diagnosed with terminal cancer. 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. Nursing School Content ; TEAS Content ; Ask the client about their understanding of the diagnosis. Delivering end-of-life care to a client with terminal cancer in the home. 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. Inability to carry out A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. There are a This law requires doctors and nurse practitioners (NPs) to discuss care options with people with a terminal illness. Frustration with pain B. 2. 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. a nurse is caring for a client who recently received a diagnosis of terminal cancer. 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. Which statement made by the client reflects the bargaining stage of grief? and more. "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. They will be better off without me. 4. " These stages are: denial, anger, bargaining, depression, and acceptance. Which statement by the client A nurse is caring for a client who has received a terminal diagnosis. The client is grieving and states she feels alone. 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. " This law requires doctors and nurse practitioners (NPs) to discuss care options with people with a terminal illness. Which of the following rationales for self-care should the nurse communicate to the family? A. Weight loss E. . Leave the client alone to deal with final affairs 2. The nurse notes that the client is hostile and yelling. How frequently should the nurse instruct the AP to check the tightness of the restrained hands? 1. After the physician leaves, the nurse remains to answer further questions 11. Routine bed baths 3. Which body A nurse is caring for a client who has a new diagnosis of terminal cancer. The nurse is concerned that the wife is still grieving the death Study with Quizlet and memorize flashcards containing terms like 1. 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. Know your choices for cancer care when coping with terminal cancer. Identify three (3) manifestations of this condition. 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. A client with lung cancer is being cared for by his wife at home. I often feel like I'm going to have a heart attack c. "Sometimes a person returns to a previous stage. The findings show that the expected outcomes have been achieved. 1. A hospice nurse is caring for a client with terminal cancer. ) 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. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has terminal pancreatic cancer. Which statement by the nurse shows that she has understanding of the Kübler-Ross emotional responses to impending death? a. 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. The hospice team usually includes doctors, nurses, home health aides, social workers, clergy or other counselors, and trained volunteers. 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. 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. Extreme stress caused by the diagnosis of cancer 4. The client asks several questions about the nurse's religious beliefs related to death and dying. The family requests the diagnosis be withheld from the client. A nurse is caring for a 48 year old client with terminal cancer that is concerned about maintaining confidentiality about his diagnosis 1. "I don't understand why he can't get better and return to walk" B. The nurse receives a telephone call from the laboratory who reports that the client's platelet count is 20,000 mm3. 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. The family of the client is voicing concerns about knowing the manifestations of approaching death. Terminal secretions are usually observed 3-23 hours A nurse is caring for a client with terminal liver cancer. A 28-year-old female client with a body mass index of 38 kg/m² b. 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 has two school-age children Naxlex. which of the following client statements should the nurse expect? a. a nurse is caring for a client with terminal cancer. 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. Cachexia C. , The client is terminal and has unrelieved and The hospice nurse is caring for a 40-year-old client with stage IV stomach cancer. When the nurse enters the room to set up bath equipment, the client says, "I'm not an invalid, you know. 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. Which nursing action is most appropriate when establishing the plan of care for this client?, A unit-based infection 1. A nurse is caring for a client who is expressing anger about their diagnosis of colorectal cancer. The newborn is crying and the client states, " I can't seem to do anything right. 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. What is the role of the nurse to advocate Answer. Which of the following statement indicates that the client is demonstrating effective coping. Teach the client to use progressive relaxation techniques. Identify the sequence of Engel's five stages of grief that the nurse should expect the client to experience. Implementation is the phase of the nursing process where the nurse puts the care plan into action. Pain c. Which is the reason the nurse is experiencing difficulty with this task, A nurse is caring for an older adult client with terminal cancer. Anorexia and nausea C. 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. The family member refuses to discuss the issue. The nurse is caring for a 15-year-old client with myelogenous leukemia . D. " The nurse is caring for a client whose spouse passed away several years ago. Discourage the client from forming new relationships. 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. The nurse is developing a program to address common health promotion strategies. Instruct the client to actively What are nursing interventions when administering continuous enteral feedings?, A client is demonstrating heat stroke manifestations. 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. Ask if the client has any questions. 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. 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. The nurse acts in the role of client advocate when protecting the client's legal and ethical rights. Call upon the client's spiritual advisor to manage care 3. "Clients lose their hair, but it usually grows back nice and thick. The client will experience a weight gain of one to two pounds per week. A nurse is preparing to document client care in the electronic health record for a client who is postoperative. Which of the following actions sheuld this nurst take? Allow the client unilimited time for. " 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. 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. , The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer. A client is given a diagnosis of terminal cancer, and the health-care provider suggests hospice services for the family. 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. 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. as the “death rattle,” can be a distressing and frightening symptom for family members and those involved in the client’s care. What Learn more. A terminal illness is one in which death is expected within 6 months. The mother states, "I feel numb and can't believe this is happening to us. Anticipatory Grieving related to loss of family member, as evidenced by sorrow. Keep conversations quiet. Daily blood draws 2. A nurse is caring for a client who has terminal lung cancer. " I don't know if I will be able to meet his physical needs" C. B) It increases in The nurse is caring for a client who just learned of his terminal diagnosis. 4 Providing nursing care to ill clients in their homes. 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. 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. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has terminal lung cancer. Disclosure of the client's condition D. Clear the client's airway. 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. The nurse enters the client's room and finds the client sitting in the dark crying. The nurse determines the client's lower abdomen is distended The nurse is caring for a woman with terminal breast cancer. The nurse speaks to the family about the client's wishes, condition, and terminal state. 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. C. One of the participants begins to cry and is upset that his terminal cancer was not diagnosed earlier. 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. Nausea d. 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. She earned her BSN at Western Governors University. 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. 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. Which aspect would be most important for the nurse to integrate into the program to promote its success? Select all that apply. The nurse knows that this client will likely be most concerned with which of the following? a. D) The majority of women who get ovarian cancer have a family history of the disease. , A nurse is caring for a client who has a terminal illness. " 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. The nurse enters the client's A nurse is caring for a client with a diagnosis of terminal cancer. 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. Every 4 hours 4. 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. A 58-year-old A nurse is caring for a cllent who has just received a terminal cancer diagnosis from his provider. A client diagnosed with terminal illness refuses to accept diagnosis and insists on seeking advice from other healthcare professionals. 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). Which of the following actions should the nurse take first?•Reflect on her own opinion about withholding the diagnosis from him. The family is unsure whether to go home for rest or spend the night with the client. Change the subject when the client becomes upset. 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. The emergency department primary health care provider examines the client and asks the nurse to contact the medical examiner regarding an autopsy. The client states, "If I promise to change my bad habits, the cancer will go away. The family is hesitant and asks the nurse what hospice can provide. The nurse is caring for a client who recently found out he has a terminal illness. The nurse decides that an appropriate nursing diagnosis is "anxiety related to lack of control over the health circumstances. The client's pain rating 2. The client will verbalize an understanding of the mode of disease transmission. 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. Which condition should the nurse identify as a reason for a client to reconsider taking this medication? 1. , A nurse is caring for a client who has terminal cancer. " Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a dying client. 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. The client is competent and has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest. " A nurse is caring for a client who recently received a diagnosis of a terminal cancer. Place soft restraints on arms. What type of grief is the client experiencing?, The nurse is caring for a woman with terminal breast cancer. A nurse is caring for a client who is nulliparous and in the first stage of labor. 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 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. Leukorrhea D. b. When the nurse enter the room to set up bath equipment, the client says, "I'm not an invalid, you know. 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. Dim room lights. After the physician leaves, the nurse remains to answer further questions so that the client can make an informed decision about further treatment. The client's blood gas values are pH 7. a support group B. 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. The nurse agrees to be present while the client tells the family. 4 Diagnosis. Around-the-clock dosing provides increased pain relief and decreases stressors associated with pain, such as anxiety and fear. Which therapeutic techniques should the nurse use when communicating with the family? Select all that apply. The nurse is caring for a male client who had an inguinal herniorrhaphy 3 hours ago. 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. A nurse is caring for a 48-year-old client with terminal cancer that is concerned about maintaining confidentiality about his diagnosis. 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. 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. the grieving process. This knowledge can help them provide the best care possible and help the person with cancer say goodbye. Discourage the client from forming new relationships. Help the client into a wheelchair before the transporter arrives. 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. The client asks the nurse to help him end his own life to alleviate his suffering and that of his family. g. 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. Instruct the client to take diphenoxylate/atropine 5 mg PO twice a day. " Based on this information, the nurse determines that the client has requested: voluntary euthanasia. The nurse is caring for a client who experiences severe nausea and vomiting after chemotherapy. The nurse is preparing to care for a dying client and several family members are at the client's bedside. The oncologist offers the client the option of surgery to treat the progression of this disease. Study with Quizlet and memorize flashcards containing terms like 1 . The nurse demonstrates sensitivity to the significant other A nurse is caring for a client who has a recent diagnosis of a terminal illness. the nurse speaks to the family about the client's wishes, condition, and terminal state. When the nurse comes to assist the client, the client says, "What's the use. " 2. 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. In addition, cancer pain is a subjective experience and a complex symptom with varying factors (e. A client who was recently informed that a biopsy confirmed metastatic liver cancer states, "I think the doctors are wrong about my diagnosis. A terminal cancer diagnosis brings up a number of decisions to make. However, today the client is no longer complaining of pain but is quiet and isolative. List the pertinent A nurse is caring for a Jewish client with a terminal illness who is on a ventilator. 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. 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. 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. 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 will teach you to care for it. The student has three red, scaly patches of skin on his arms and chest. The hospice nurse is caring for a client who has been diagnosed with terminal 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. A nurse is working with a client who has received a terminal diagnosis. Correct1 Chemotherapy 2 Repositioning 3 Regular oral care A nurse is caring for a client with terminal cancer. "Hospice services assist the family with funeral planning. 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. Nurses Notes Day 1 0930: Client is sitting on side of bed with daughter at bedside. A. 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. developing A nurse is caring for a client who has a terminal illness and states that they want to experience a "good death. Most cancer patients experience pain []; in particular, more than half of patients with advanced, metastatic, or terminal cancer experience pain []. Apply supplemental oxygen, A nurse is caring for a client who is Receiving hospice care. Allow the client unlimited time for the grieving process. 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. " 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. Discuss the client's prior coping mechanisms. Which of the following statements by the client's partner indicates maladaptive coping? A. The client tells the doctor that he and his family have accepted the terminal diagnosis of pancreatic cancer. Previous question Next question. 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. The nurse identifies that which types of care will now be removed from the treatment plan? Select all that apply. The nurse is caring for a client who just learned of his terminal diagnosis. 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. 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. 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. The client tells the nurse that they would like to go home to be with family and loved ones. 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. 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. 52, PaCO2 30 mmHg, and An adolescent in the terminal stage of leukemia cries out for more pain medicine. " Study with Quizlet and memorize flashcards containing terms like A seasoned hospice nurse is mentoring a new nurse on the unit. I might as well just die. After an autopsy is prescribed, the client's family requests no autopsy be performed. It can be given with or without curative care. " 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. 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. A client is diagnosed with terminal cancer. Which types of therapeutic communication should the nurse employ? The nurse is caring for a child with a diagnosis of Kawasaki disease. Anticipatory grief means Science. Every 30 The nurse is caring for a client with terminal cervical cancer. Learn about palliative care, hospice care, and trying a clinical trial. When a person’s health care team determines that the cancer can no longer be controlled, medical testing and cancer treatment often stop. 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. (Select the stages of grief in order of occurrence. The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. 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. A nurse caring for a client with a terminal illness understands which statement from NUR 222 at CUNY Borough of Manhattan Community College. 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. nonverbal cues of the client C. 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. The focus of care is on controlling symptoms and relieving pain. "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. Play soothing music. 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. Here are some issues to consider. Nonverbal cues from the client 3. A nurse is caring for an adolescent client who has a new diagnosis of terminal cancer. 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. The oncology nurse plays a vital role in coordinating the multiple and complex technologies now commonly employed in cancer diagnosis and treatment. Which nursing intervention is appropriate for this client? A. Which finding in the patient's The nurse is writing a care plan for a patient with brain metastases. Study with Quizlet and memorize flashcards containing terms like 1. Start cardiopulmonary resuscitation. 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 of the following Study with Quizlet and memorize flashcards containing terms like 1. B. 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. Nurses have a responsibility to carry out and respect the client’s wishes to the extent they can. 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. " 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. A nurse is caring for a client who has a new diagnosis of colon cancer. Identify the client using two identifiers. While assisting with a subclavian vein central line insertion, the nurse notes the clients oxygen saturation rapidly dropping. Which clinical manifestations would the nurse expect to observe based on this diagnosis? A. Basic human needs are a priority for the dying person. Feelings of hopelessness D. 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. The nurse's impression of the client's pain 4. 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. " Which of the following is an appropriate response The nurse is caring for a client who just learned of his terminal diagnosis. "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. I can take care of myself. 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 is caring for an older adult client who just received news of a terminal diagnosis. 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. 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. tyyyhji uizf dtrnh dqck wtvqw fwek uoridqw rxxg jsojhl dnkzh