Correct Answer: A

Rationale: Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease.
Therefore informing the client that they will be more comfortable after surgery is an appropriate instruction. Palliative surgery may not necessarily provide more information about the disease. Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery. Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.

Correct Answer: C

Rationale: Controlled substances typically require a licensed nurse or provider to witness the wasting not assistive personnel. Wasted medication should be disposed of according to facility policies but not necessarily in a sharps container unless it is a sharp object. Recording the amount of medication wasted on the controlled substance inventory record is a crucial step to maintain accurate documentation. Returning the unused portion of a controlled substance to the pharmacy is not an appropriate action and goes against medication safety protocols. Controlled substances should be wasted and documented properly.

Correct Answer: A

Rationale: Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare. Referring the client to a counselor can be appropriate but the primary response should be to support the client's decision. Encouraging the client not to give up may not be appropriate if the client has made a well-considered decision to refuse further treatment. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.

Correct Answer: C

Rationale: 2+ pitting edema is not a contraindication to cold application; in fact cold application can help reduce edema. A 7.5 cm (3 in) diameter bruise on the ankle is not a contraindication to cold application; cold can help reduce swelling and alleviate pain. Capillary refill of 4 seconds suggests compromised blood flow and cold application may further impair circulation. It is a contraindication. Warts on the affected ankle are not a contraindication to cold application.

Correct Answer: C

Rationale: Getting up and walking with the physical therapy aide promotes early mobility and is a positive statement. Doing leg exercises every hour while awake helps prevent complications such as deep vein thrombosis (DVT). Leaving antiembolic stockings on during sleep helps prevent DVT so the client's statement is incorrect. Using a footstool while sitting in a chair promotes proper positioning and comfort.