A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral tube feedings. Which of the following actions should the nurse take?
Request the facility chaplain to visit the client.
Ask the client to sign an informed consent form.
Explain the process for completing a living will.
Complete an against medical advice form.
The Correct Answer is C
When caring for a client with terminal cancer who expresses a desire to discontinue enteral tube feedings, the nurse's priority is to ensure that the client's wishes are respected and appropriate steps are taken. The most suitable action is:
c) Explain the process for completing a living will.
A living will is a legal document that outlines a person's preferences regarding medical treatment in the event they are unable to communicate their wishes. In this situation, the client can express their desire to forgo enteral tube feedings through a living will, ensuring that their wishes are documented and legally recognized.
The other options may not be as appropriate:
a) Request the facility chaplain to visit the client: While spiritual and emotional support is important, the immediate concern is ensuring the client's autonomy in decision-making regarding medical interventions.
b) Ask the client to sign an informed consent form: Informed consent typically pertains to specific medical procedures, and discontinuing enteral tube feedings is more aligned with the broader context of advance care planning.
d) Complete an against medical advice form: This form is typically used when a patient refuses a recommended treatment against the medical team's advice. However, in this case, the client is expressing their own treatment preferences, and the focus should be on facilitating advance care planning and documentation.
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Related Questions
Correct Answer is D
Explanation
Hemianopsia is a visual field defect in which there is a loss of vision in one-half of the visual field. It can be caused by a number of conditions, including stroke, brain tumors, and traumatic brain injury. It is a significant finding that requires immediate reporting to the provider, as it can indicate a serious underlying condition that requires further evaluation and treatment. Hemianopsia can significantly impact a client's ability to perform activities of daily living, mobility, and safety. Conjunctivitis is inflammation of the conjunctiva, which can cause redness, itching, and discharge. While it is important
to assess and treat conjunctivitis, it is not a priority finding that requires immediate reporting to the provider. Increased sensitivity to glare is a common age-related change in vision, and while it can be bothersome, it is not typically a priority finding that requires immediate reporting to the provider. Decreased near vision is another common age-related change in vision, and while it can be an important finding to address with the client, it is not typically a priority finding that requires immediate reporting to the provider.
Correct Answer is ["B","C","D"]
Explanation
The correct answers are B, C, and D. The nurse should assist the client in using guided imagery, maintain the head of the client's bed in an elevated position after eating, and provide sips of room-temperature ginger ale between meals. Guided imagery can help distract the client from the nausea and promote relaxation.
Elevating the head of the bed after eating can help prevent reflux and nausea. Ginger ale can help relieve nausea and can be sipped slowly between meals. Using seasonings to enhance the flavor of foods is not likely to help with chemotherapyinduced nausea, and cold milk as a meal replacement may not provide enough calories and nutrients.
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