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 should the nurse report so that the team can consider alternative nutritional and fluid administration routes for a client who is dying?
Correct Answer: C
Rationale: The nurse should report weight loss and inadequate food intake so that the team can consider alternative nutritional and fluid administration routes for a client who is dying. The nurse need not report altered gastrointestinal function because it is a normal part of the dying process. A nurse should also not report a drop in blood pressure and rapid heart rate or irregular eating habits.
Question 2 of 5
Which of the following nursing interventions should a nurse perform to promote the dignity and self-esteem of a client who is dying?
Correct Answer: B
Rationale: A nurse should keep the client clean, well groomed, and free of unpleasant odors to promote dignity and self-esteem. Although sharing emotional pain is an essential component of care for clients who are dying, it will not promote their dignity and self-esteem. Communicating hopefulness helps sustain hope in clients who are dying. Encouraging the client to eat or drink on a regular basis may make the client uncomfortable and make it more difficult to manage negative symptoms.
Question 3 of 5
Which of the following interventions should the nurse perform to prevent drying of the oral mucous membranes and lips in a client who is dying?
Correct Answer: D
Rationale: The nurse provides oral care, ice chips, and petroleum jelly because mouth breathing makes the oral mucous membranes and lips dry. Placing the client in a cool temperature and providing water to the client at regular intervals will not help prevent drying of the oral mucous membranes. Providing the client with absorbent pads is useful only when the client has lost bladder control and does not prevent drying of the mucous membranes.
Question 4 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 5 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.