ATI Fundamentals Exam Final

Extract:

Question 1 of 5

A hospice patient is unable to tolerate food or fluids and has advance directives that indicate that he does not want IV fluids or tube feedings if he is unable to take oral feedings. His family is concerned that he will be very uncomfortable without food or fluids. The nurse should tell them that:

A. IV fluids or tube feeding would likely make the patient more uncomfortable,and dehydration has been shown to decrease pain and discomfort. B. Once the patient is unconscious,his health care proxy can order IV fluids or tube feedings to prevent dehydration. C. IV fluids or a tube feeding would make the patient much more comfortable,and they should try to talk him into accepting them. D. dehydration is painful,and medication can be given to overcome any pain.

Correct Answer: A

Rationale: Answer A is correct because in this scenario, providing IV fluids or tube feeding to a hospice patient who is unable to tolerate food or fluids goes against the patient's advance directives. It is important to respect the patient's wishes and autonomy. Dehydration in this context has been shown to decrease pain and discomfort rather than increase it. This is supported by evidence that shows hydration status does not significantly impact pain perception in terminally ill patients. Providing IV fluids or tube feeding could potentially cause discomfort, disrupt the natural dying process, and go against the patient's wishes for end-of-life care.
Therefore, the nurse should explain to the family that respecting the patient's advance directives and focusing on comfort measures aligned with the patient's wishes is the most appropriate course of action in this situation.

Question 2 of 5

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Question 5 of 5

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ATI Fundamentals Exam Final | Nurselytic

Nurselytic

ATI RN

ATI RN