ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 10 : End-of-Life Care Questions
Question 1 of 5
Which of the following nursing interventions should be implemented for the client who is dying and is incontinent of urine, with associated skin breakdown, and exhibits a decreased level of consciousness?
Correct Answer: A
Rationale: The client may need an indwelling or external catheter, particularly if skin breakdown is a problem. The other options would not be appropriate for the client who is dying.
Question 2 of 5
Which of the following is an appropriate intervention for the client with pulmonary edema?
Correct Answer: A
Rationale: Suctioning will not clear the lungs or ease breathing if the client has pulmonary edema. In this situation, the physician may prescribe a sedative to relieve the anxiety created by the feeling of suffocation.
Question 3 of 5
Which of the following is a nursing intervention for promoting self-care in the client who is dying?
Correct Answer: D
Rationale: The nurse may need to assist with personal hygiene. Petroleum jelly helps keep the lips lubricated. Active range-of-motion exercises do not need to be done every hour. The nurse gives oral care and ice chips because mouth breathing makes the oral mucous membranes and lips dry.
Question 4 of 5
Which of the following is an example of near-death awareness?
Correct Answer: C
Rationale: Near-death awareness is a phenomenon characterized by a premonition by a client who is dying of the approximate time and date of death. Near-death experiences include feeling warm and peaceful, floating above one's body, and moving rapidly toward a bright light.
Question 5 of 5
Which of the following is an appropriate intervention to promote sleep in the client who is dying?
Correct Answer: A
Rationale: Nurses must cluster activities to avoid awakening the client and to protect the client from a steady stream of healthcare workers or visitors.