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Chapter 4. Palliative Care

JP is being treated for lung cancer, and received his last chemotherapy infusion 3 weeks ago. He is currently reporting nausea and vomiting since he started taking morphine for his cancer-related pain. Which of the following antiemetics would be the best option to treat his uncontrolled nausea and vomiting?

A. Ondansetron

B. Aprepitant

C. Lorazepam

D. Haloperidol

E. Dolasetron

A patient diagnosed with advanced COPD is reporting dyspnea associated with thickened pulmonary secretions. The patient has a strong cough reflex and is adequately hydrated. Which of the following is the best option for this patient?

A. Oxygen therapy

B. Low-dose oral morphine

C. Scopolamine patches

D. Nebulized saline

E. Lorazepam

Delirium often presents gradually, with persistent decline in memory and global functioning.

A. True

B. False

In a patient diagnosed with advanced heart failure, who is demonstrating excessive fluid overload symptoms, which of the following medication should be reduced or discontinued?

A. Digoxin

B. Beta-adrenergic blocker

C. Angiotensin-converting enzyme (ACE) inhibitor

D. Loop diuretic

E. Aspirin

Nausea secondary to gastroparesis is most appropriately treated by which of the following agents?

A. Lorazepam

B. Haloperidol

C. Metoclopramide

D. Ondansteron

E. Dolasteron

Which of the following adjuvant is often used in conjunction with standard opioid therapy for the treatment of severe bone pain?

A. Acetaminophen

B. Corticosteroids

C. Lorazepam

D. Tricyclic antidepressants

E. Alprazolam

Which of the following best describes the cause of death in patients diagnosed with Lou Gehrig disease?


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