An adolescent client with terminal cancer tells the nurse that ...

[Tazate]

An adolescent client with terminal cancer tells the nurse that she does not want any more treatment, even though her parents are planning for her to participate in a study trial that involves aggressive chemotherapy.
 
  Which action by the nurse is the most appropriate?
  A) Tell the client that the decision is her parents' and she has to participate in the study.
  B) Tell her that, at 16, she can make her own decisions no matter what her parents want.
  C) Request that the parents and daughter meet together with the healthcare team to discuss options and the implications of various choices.
  D) Tell her not to worry, that she knows her parents want the best for her.

Question 2

While receiving discharge teaching, an adult client recovering from a prostatectomy is distressed to learn that episodes of incontinence may occur. Which should the nurse teach the client to help minimize incontinence?
 
  A) Proper administration of incontinence medication
  B) Steps to change the Foley catheter bag every day
  C) Fluid restriction
  D) Kegel exercises

[yahahah24021]

Answer to Question 1

Answer: C

Adolescents with a serious medical condition are more capable of making treatment decisions than most teenagers. However, the Patient Self- Determination Act of 1990 limits the legal rights of individuals younger than 18 to make their own healthcare decisions. If the adolescent states a desire to withdraw from or refuse treatment, her parents and healthcare team should discuss the reasons for her decision and help her understand the implications of her decision and any treatment alternatives that may influence her choice. Telling her not to worry does not address the problem.

Answer to Question 2

Answer: D

Urinary incontinence after surgery is not unexpected. Teaching the client Kegel exercises is the best way to help him eliminate or reduce occasions of stress incontinence. Restricting fluids may cause further urinary problems and is not advised. Medication and Foley catheters are not appropriate long-term treatments for this complication.

[Tazate]

TYSM

[atrochim]

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