OCN Domain 4: Symptom Management and Palliative Care Welcome to your OCN Domain 4: Symptom Management and Palliative Care 1. OCN: Symptom Management and Palliative Care A patient undergoing chemotherapy for leukemia reports oral mucositis with painful ulcers. What is the best initial management strategy for this symptom? Administering oral antibiotics Providing cryotherapy Suggesting a soft diet and frequent oral rinses Prescribing opioid analgesics None 2. OCN: Symptom Management and Palliative Care A patient with advanced cancer reports severe neuropathic pain that does not respond to typical analgesics. What is the most appropriate treatment option to manage this pain? Non-steroidal anti-inflammatory drugs (NSAIDs) Opioid therapy Antidepressants or anticonvulsants Muscle relaxants None 3. OCN: Symptom Management and Palliative Care A patient in palliative care is experiencing severe cachexia. Which intervention is most likely to improve the patient's quality of life without causing undue stress? High-calorie supplements and aggressive nutrition therapy Long-term parenteral nutrition Appetite stimulants like megestrol acetate Psychosocial support and dietary modifications None 4. OCN: Symptom Management and Palliative Care A patient with advanced lung cancer is experiencing significant dyspnea. Which of the following interventions is most likely to relieve this symptom? High-flow oxygen therapy Opioid administration Inhaled bronchodilators Thoracentesis None 5. OCN: Symptom Management and Palliative Care An oncology nurse is caring for a patient with metastatic breast cancer who experiences breakthrough pain despite regular opioid administration. What is the most appropriate strategy to manage this pain? Increase the current opioid dosage Administer a different opioid for breakthrough pain Add non-opioid analgesics to the regimen Use an extended-release opioid formulation None 6. OCN: Symptom Management and Palliative Care A patient with advanced colorectal cancer is experiencing severe nausea and vomiting due to chemotherapy. Which class of medications is most likely to alleviate these symptoms? Serotonin receptor antagonists Dopamine receptor antagonists Antihistamines Anticholinergics None 7. OCN: Symptom Management and Palliative Care A patient with end-stage cancer is experiencing significant constipation due to opioid therapy. Which of the following interventions is most appropriate to address this symptom? Increase fluid intake and dietary fiber Administer stool softeners and laxatives Initiate enemas regularly Discontinue opioid therapy None 8. OCN: Symptom Management and Palliative Care A patient with terminal cancer is in the final stages of life and experiencing significant restlessness and agitation. What is the most appropriate approach to manage these symptoms? Increasing opioid dosage Using benzodiazepines or antipsychotics Implementing strict bed rest Providing frequent sedation with anesthesia None 9. OCN: Symptom Management and Palliative Care A patient with advanced pancreatic cancer is experiencing severe itching (pruritus) due to liver metastases. What is the most effective strategy to manage this symptom? Administering antihistamines Using topical steroids and moisturizers Prescribing cholestyramine or ursodiol Providing regular cooling baths and compresses None 10. OCN: Symptom Management and Palliative Care A patient with end-stage cancer is experiencing significant anorexia and weight loss. What is the most appropriate pharmacologic intervention to stimulate appetite and promote weight gain? Megestrol acetate Dronabinol Metoclopramide Diazepam None 11. OCN: Symptom Management and Palliative Care A patient with advanced cancer and severe depression is refusing further treatment and showing signs of withdrawal. What is the most appropriate initial intervention? Immediate hospitalization for psychiatric evaluation Referral to a psychologist or counselor Increasing the dosage of antidepressants Engaging in supportive care and discussions about patient's wishes None 12. OCN: Symptom Management and Palliative Care A patient with end-stage cancer is experiencing severe respiratory secretions causing the "death rattle." What is the most appropriate intervention to manage this symptom? Administering anticholinergic agents like scopolamine Increasing fluid intake to clear secretions Suctioning the airways regularly Providing high-flow oxygen therapy None 13. OCN: Symptom Management and Palliative Care A patient with advanced cancer and significant anxiety is struggling to sleep at night. Which of the following interventions is most likely to improve sleep quality? Providing benzodiazepines for sleep induction Encouraging a structured bedtime routine and relaxation techniques Increasing daytime physical activity Administering melatonin supplements None 14. OCN: Symptom Management and Palliative Care A patient with end-stage cancer is experiencing significant emotional distress and reports feelings of hopelessness. What is the most effective initial approach to address this emotional distress? Prescribing antidepressants or antipsychotics Providing counseling and support from a palliative care team Suggesting meditation or mindfulness practices Engaging in frequent sedation with benzodiazepines None 15. OCN: Symptom Management and Palliative Care A patient with metastatic prostate cancer reports severe bone pain. What is the most appropriate pharmacological intervention to manage this symptom? Non-steroidal anti-inflammatory drugs (NSAIDs) Bisphosphonates like zoledronic acid Radiation therapy Administering high-dose opioids None 16. OCN: Symptom Management and Palliative Care A patient with advanced cancer is experiencing significant peripheral neuropathy due to chemotherapy. What is the most appropriate intervention to manage this symptom? Administering anticonvulsants like gabapentin Using topical analgesics like lidocaine patches Increasing opioid dosage Suggesting physical therapy and massage None 17. OCN: Symptom Management and Palliative Care A patient with terminal cancer reports significant fatigue and weakness. What is the most appropriate initial approach to manage this symptom? Suggesting energy conservation techniques and prioritizing activities Increasing caloric intake and nutritional support Prescribing stimulants like methylphenidate Administering iron supplements None 18. OCN: Symptom Management and Palliative Care A patient with advanced cancer and chronic pain experiences frequent nausea and vomiting due to opioid therapy. What is the most effective strategy to manage these symptoms? Prescribing antiemetics like ondansetron Switching to a different opioid medication Reducing the opioid dosage Suggesting non-opioid pain management techniques None 19. OCN: Symptom Management and Palliative Care A patient with terminal cancer reports significant existential distress and is questioning the meaning of life. What is the most appropriate approach to address this existential distress? Engaging in spiritual or religious counseling Referring the patient to a psychiatrist Prescribing antidepressants Encouraging group therapy with other cancer patients None 20. OCN: Symptom Management and Palliative Care A patient with advanced cancer is experiencing severe ascites and reports abdominal discomfort and difficulty breathing. What is the most effective initial intervention to manage these symptoms? Paracentesis to remove excess fluid Administration of diuretics to reduce fluid retention Providing abdominal binders to relieve discomfort Encouraging bed rest and fluid restriction None 1 out of 20 Time is Up! Time's up
