Author Question: The patient has a history of terminal cancer but is being admitted for treatment of a pressure ... (Read 23 times)

Engineer · **on:** Jul 24, 2018

The patient has a history of terminal cancer but is being admitted for treatment of a pressure ulcer. The patient's wife has been caring for him at home and refuses to discuss admission to a nursing home.

The wife looks extremely tired and is near the point of exhaustion. What could the nurse suggest? a. A consult for hospice care
b. Continuing with the plan of care as is
c. That the doctor order the patient into a nursing home
d. That the wife stay away while the patient is hospitalized

Question 2

Which of the following is an unexpected finding after a cardiac assessment?

a. A pulse rate of 72 beats per minute
b. Jugular vein pulsation with the patient supine
c. PMI found at the midclavicular line
d. A sustained swishing sound during systole or diastole

aidanmbrowne · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
Hospice benefits include respite for family caregivers. The current plan of care may be the reason for the decubiti and may lead to the patient's wife's becoming ill. Palliative and hospice care place a primary focus on the patient's values, quality of life, and care preferences.

Answer to Question 2

D
Murmurs are sustained swishing or blowing sounds heard at the beginning, middle, or end of systole or diastole. They are caused by increased blood flow through a normal valve, forward flow through a stenotic valve or into a dilated vessel or chamber, or backward flow through a valve that fails to close. Expected outcomes following completion of procedure: Heart rate is between 60 and 100 beats per minute (adolescent through adult) and without extra sounds or murmurs; jugular veins distend when patient lies supine and flatten when patient is in sitting position; and point of maximal impulse (PMI) is palpable at fifth intercostal space at left midclavicular line in the adult.