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41. Coby approached you and asked about palliative care since he has been hearing it a lot lately after he was diagnosed with his terminal illness. As a knowledgeable nurse, you know which of the following is the best definition of palliative care? A. Care for terminally ill clients. B. Symptom management for a client when a disease no longer responds to cure-focused treatment. C. Aggressive cure-focused disease treatment and management. D. Comfort care. 42. Coby asked you what the goal of palliative care is. You answer him correctly by stating that which of the following are the goals of palliative care? Select all that apply. I. Preventing disease symptoms. II. Relieving disease symptoms. III. Curing a disease. IV. Treating a disease. A. I B. II C. I, II D. III, IV 43. Coby is now under home health with palliative care services. He stated that he has been experiencing nausea. Which of the following actions will most likely promote comfort in this client? A. Educate the patient and family in the use of prescribed antiemetics; providing oral care every 2 to 4 hours; consuming a diet of clear liquids and ice chips; and avoiding liquids such as coffee, milk, and citrus juices. B. Administer additional pain medication. C. Provide education to the patient and family regarding oral care and antiemetic medication. D. Take a detailed medical history to determine the cause of the nausea. 44. The granddaughter of Coby approached you and asked regarding the symptoms their grandfather might experience. You answer her correctly by stating that which of the following are the common symptoms of terminally ill clients? A. Hunger, thirst, fatigue, and diarrhea. B. Dehydration, nausea, effective breathing, and adequate nutrition. C. Discomfort, nausea, ineffective breathing, and fatigue. D. Urinary continence, thirst, dehydration, and diarrhea. 45. Coby is being cared for at home by his family members. You conducted your physical assessment on Coby and based on your findings, you are aware that Coby’s death is imminent. What is your most important role in the care of family at this point in time? A. Providing temporary relief of caregiving duties to allow the family to rest. B. Providing education regarding the symptoms the client will likely experience. C. Coordinating a visiting schedule for the family. D. Communicating news of the client’s impending death to the family while they are together. Situation – Meg is assigned as charge nurse at the Cardiovascular Ward in a Medical Center. There are 20 patients, classified as follows: 2 Total Care (TC), Partial Care (PC) and 9 Ambulatory Care (AC). The ward’s morning duty are 3 staff nurses and 2 nursing attendants (NA). 46. How will your distribute the patients to the 3 Registered Nurses and 2 Nursing Assistants? A. 2 Registered Nurse for Total Care patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care Patients, 1 Nursing Assistant for Total Care. B. 1 Registered Nurse and 1 Nursing Assistant for Total Care Patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care Patient, 1 Registered Nurse for Ambulatory Care patients. C. 2 Registered Nurse for Total Care patients, 2 Nursing Assistant for Primary Care Patients, 1 Registered Nurse for Ambulatory Care Patients. D. 1 Registered Nurse for Total Care patients, Registered Nurse and 1 Nursing Assistant for Primary Care patients, 1 Registered Nurse and 1 Nursing Assistant for Ambulatory Care patients 47. In as much as this is a cardio-ward what basic equipment/materials should be available at all times? 1. o2 2. Ambu Bag 3. Suction Apparatus 4. Endotracheal A. 1, 2, 4 B. 1, 2, 3, 4 C. 1, 2, 3 D. 2, 3, 4 48. Which of the following emergency medicines should be available at the emergency cart at the Cardio Ward? 1. Epinephrine 3. Valium 2. Demerol 4. Coumadin A. 1, 3 B. 1, 2 C. 2, 4 D. 3, 4 49. When stocking fluids in the emergency cart. What should Nurse Meg instruct the nurses? 1. Put the recently- delivered at the back of the old stock 2. Put the old stock in front of the newly-delivered ones 3. Check the fluids for sediments and discoloration 4. Keep the fluids inside the cooler A. 1, 2 B. 1, 4 C. 3, 4 D. 2, 3 50. How will Nurse Meg arrange the patients in the ward? Put the ______________. A. Primary Care in between the Ambulatory Care patients. B. Primary Care and Ambulatory Care patients together and Total Care at the corner of the room. C. Total Care patients near the nurses and the Ambulatory farthest D. Ambulatory Care patients near the Total Care ones. SITUATION: You are a nurse providing care for patient Vivi who came to the hospital for assessment. She is suspected to have osteoporosis. You help her by utilizing your knowledge on the topic. 51. You reviewed Vivi’s chart after conducting her physical assessment. You correctly identify that which of the following signs/symptoms indicate that Vivi has already developed osteoporosis? A. The client has lost one (1) inch in height. B. The client has lost 12 pounds in the last year. C. The client’s hands are painful to the touch. D. The client’s serum uric acid level is elevated. 52. After Vivi’s diagnosis of osteoporosis, she asked you why smoking cigarettes causes her bones to become brittle. Your most appropriate response is: A. “Smoking causes nutritional deficiencies, which contribute to osteoporosis.” B. “Tobacco causes an increase in blood supply to the bones, causing osteoporosis.” C. “Smoking low-tar cigarettes will not cause your bones to become brittle.” D. “Nicotine impairs the absorption of calcium, causing decreased bone strength.” 53. When discussing osteoporosis with Vivi, you are aware that which of the following is an example of a secondary nursing intervention? A. Obtain a bone density evaluation test. B. Perform non–weight-bearing exercises regularly. C. Increase the intake of dietary calcium. D. Refer clients to a smoking cessation program. 54. Vivi is prescribed by her physician Calcitonin by nasal spray. Which of the following assessment findings indicate an adverse effect of the medication? A. The client complains of nausea and vomiting. B. The client is drinking two (2) glasses of milk a day. C. The client has a runny nose and nasal itching. D. The client has had numerous episodes of nosebleeds. 4 | Page

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