A nurse on a geriatric medical care unit consults hospice for a ...

[dmcintosh]

A nurse on a geriatric medical care unit consults hospice for a client. Which of the following nursing interventions should the nurse anticipate after the client begins hospice care?
 
  A) Administering chemotherapy to a client with a diagnosis of pancreatic cancer
  B) Assessing the deep tendon reflexes of a client with neurologic impairment
  C) Infusing total parenteral nutrition to a client with dysphagia
  D) Providing an opioid analgesic to a client with bone metastases

Question 2

The process of nociception is important in determining the most appropriate analgesic. Place the processes in order:
 
  A) Modulation
  B) Perception
  C) Transduction
  D) Transmission

[FergA]

Answer to Question 1

Ans: D
The focus of hospice care is on the relief of suffering rather than cure of disease. Relief of suffering often encompasses providing pain relief to clients. Active curative treatments, such as chemotherapy, and parenteral feeding often are forgone. Health assessments that do not assess the client's comfort, such as the assessment of deep tendon reflexes, are not the priority of palliative/hospice care.

Answer to Question 2

Ans: C, D, B, A
Nociception includes transduction, transmission, followed by perception, and finally modulation.