Correct Answer: C

Rationale: The correct answer is C: Primary nursing. Primary nursing is a care delivery model where one nurse is responsible for the total care of a group of clients over a 24-hour period. This promotes continuity of care, individualized attention, and better nurse-client relationships. In primary nursing, the nurse plans and directs care, coordinates with other healthcare team members, and serves as the main point of contact for the clients. A: Case management involves coordinating care across different healthcare providers and services, not necessarily focusing on a specific group of clients over a 24-hour period. B: Team nursing involves a team of healthcare providers working together to deliver care, rather than one nurse being responsible for a specific group of clients over a 24-hour period. D: Functional nursing divides tasks among different healthcare team members based on their specific skills, which may not provide the same level of continuity and individualized care as primary nursing.

Correct Answer: C

Rationale: The correct answer is C: Provide rest periods to reduce fatigue. Prioritizing rest periods can help alleviate fatigue, a common symptom in patients with advanced cancer. Encouraging small, frequent meals (choice A) may not be effective if the patient has no appetite. Administering appetite stimulants (choice B) may not address the root cause of fatigue. Discussing parenteral nutrition (choice D) is not the priority as it does not directly address the fatigue and loss of appetite reported by the patient. Rest is essential for symptom management and overall well-being in palliative care.

Correct Answer: D

Rationale: The correct answer is D: Mobility. Maintaining mobility helps prevent blood stasis, a leading factor in the development of pulmonary embolism. Movement promotes circulation, reducing the risk of blood clots. A: Antiseptic oral care is important for oral hygiene but not directly related to preventing pulmonary embolism. B: Bed rest with head of bed elevated can actually increase the risk of clots due to immobility. C: Coughing and deep breathing are beneficial for preventing respiratory complications but do not address the underlying cause of pulmonary embolism.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Limiting visitation to reduce emotional distress contradicts the principles of effective end-of-life care, which emphasize holistic support for the patient and family. 2. Effective end-of-life care encourages open communication and emotional support from loved ones. 3. Limiting visitation may hinder emotional closure and support for both the patient and family. 4. Options A, C, and D align with effective end-of-life care by focusing on symptom management, education, and spiritual support for the patient and family.

Correct Answer: D

Rationale: The correct answer is D: “Recovery is possible, but it may take several months.” This response is the best choice as it provides a balanced and accurate explanation to the patient. Here's the rationale: 1. Hemodialysis is often used as a temporary measure to support kidney function while allowing time for the kidneys to recover. 2. Acute kidney injury can be reversible in some cases, especially if the underlying cause is identified and treated promptly. 3. Recovery time varies for each individual, and it can indeed take several months for kidney function to improve. 4. Choices A, B, and C are incorrect: - A is overly pessimistic and does not consider the potential for recovery. - B provides a specific timeframe that may not be accurate for all patients. - C is not a reliable indicator of kidney function recovery and may lead to confusion.