A client who had been receiving palliative care for cancer has deteriorated and now

needs end-of-life care. The nurse identifies that which types of care will now be

removed from the treatment plan? Select all that apply.

A. Chemotherapy

B. Repositioning

C. Regular oral care

D. Blood transfusion

E. Radiation therapy - A, D, E

Palliative care is a combination of care provided when cure is not possible for a

chronic disease. It may include symptom management and comfort measures.

Chemotherapy, radiation therapy, and blood transfusions are a part of palliative care

meant to alleviate symptoms and promote well-being. These therapies may not be

required in a client who is about to die and is receiving end-of-life care. End-of-life

care comprises measures to make the client as comfortable as possible. It may

include measures such as regular oral care and repositioning.

A primary healthcare provider recommends that an adolescent with the diagnosis of

osteogenic sarcoma have the affected leg amputated and then be treated with

chemotherapy. The parents are concerned about what to tell their child and ask the

nurse for advice. What should the nurse suggest they discuss?

A. Causes of cancer and details about the treatment

B. Chemotherapy and the possibility of an amputation

C. The amputation and information about chemotherapy

D. Treatment choices and that it is too soon for a final decision - C

Honesty is essential in helping the adolescent accept the loss of the leg; only a brief

discussion of chemotherapy is needed, because otherwise the adolescent may be

overwhelmed. A theoretical discussion and detailed information will not be heard or