Exam (elaborations)
HOSPICE AND PALLIATIVE REGISTERED NURSE CERTIFICATION EXAM 2024/2025
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HOSPICE AND PALLIATIVE REGISTERED NURSE CERTIFICATION EXAM 2024/2025
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HOSPICE AND PALLIATIVE REGISTERED NURSE CERTIFICATIONEXAM 2024/2025
Which assessment findings would most strongly suggest an issue with
morphine? - Precise Answer ✔✔myoclonus is a symptom of the toxic
effects of morphine metabolites
Which cancer is least likely to metastasize to the bone? - Precise Answer
✔✔Colorectal; it mainly metastasizes to the liver, lung, and peritoneum.
What is the drug of choice to relieve a patient's feeling of "air hunger" in
end stage pulmonary disease? - Precise Answer ✔✔morphine; opioids
provide palliative support for symptoms of breathlessness or suffocation.
What is not an appropriate intervention for a bowel obstruction - Precise
Answer ✔✔Metoclopramide
The classic signs of superior vena cava syndrome (SVCS) - Precise
Answer ✔✔facial edema, dyspnea, edematous arms w/bluish color=this
is oncologic emergency requiring immediate attention.
anticipatory grief - Precise Answer ✔✔the proces of psychological,
social, and somatic reactions to a perceived future loss.
signs and symptoms of imminent death - Precise Answer ✔✔dysphagia
,stage II skin breakdown - Precise Answer ✔✔skin is blistered, cracked
or abraded
The state of having suffered a loss - Precise Answer ✔✔bereavement
Disseminated Intravascular Coagulation (DIC) - Precise Answer
✔✔focal ischemia, widespread thrombosis or bleeding, superficial
gangrene, jaundice, acrocyanosis, altered sensation, ulceration of
gastrointestinal system, decreased urinary output, and dyspnea.
prognosis of days to weeks, intervention for dysphagia - Precise Answer
✔✔teach family the importance of oral hygiene to prevent
complications such as mouth soreness and infections.
safety is a priority w/persons w/dementia - Precise Answer
✔✔supervision, minimal stimulation, and discouraging sleep during
daytime hours maximize night safety.
xerostomia - Precise Answer ✔✔dry mouth, and can be a side effect of
medications and a long term effect of radiation.
spiritual care of the hospice patient and family - Precise Answer
✔✔identifies and strives to relieve the spiritual suffering of the patient
and family
, Grief - Precise Answer ✔✔the feelings related to the perception of the
loss and is a normal reaction to loss.
mentoring - Precise Answer ✔✔a relationship between an experienced
person and a less experienced person
Justice - Precise Answer ✔✔to consider rules and actions that result in
fair and equitable use of available resources.
medicare hospice benefit periods - Precise Answer ✔✔90-, 90-, and
unlimited 60-day periods
crossing of professional boundaries - Precise Answer ✔✔providing a
personal cell phone number to the family
syncopal episodes and falls - Precise Answer ✔✔consider discontinuing
antihypertensive medications if blood pressure is consistently low
When revoking the medicare hospice benefit - Precise Answer ✔✔The
patient will lose the remaining days of the current period if they revoke
the medicare hospice benefit
The dose-limiting side effect of morphine - Precise Answer
✔✔Myoclonus=myoclonus is the chronic spasm of a muscle; if
moclonus is present, accepted practice is to rotate to another opioid.
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