A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?
Request a prescription for lactulose from the provider.
Place an occlusive dressing over the client's buttocks every 8 hr.
Insert a lubricated rectal tube gently.
Keep disposable undergarments clean and dry.
The Correct Answer is D
A. Request a prescription for lactulose from the provider: Lactulose is a laxative commonly used to treat constipation, but it is not appropriate for managing fecal incontinence in a hospice client approaching death. It focuses on promoting bowel movements rather than managing incontinence.
B. Place an occlusive dressing over the client's buttocks every 8 hr: Occlusive dressings are not typically used for managing fecal incontinence. They may trap moisture and exacerbate skin breakdown, especially in a hospice client who may be immobile or bedridden.
C. Insert a lubricated rectal tube gently: Inserting a rectal tube is invasive and may cause discomfort or injury, especially in a client who is approaching death. It is not recommended for managing fecal incontinence in this situation.
D. Keep disposable undergarments clean and dry: This is the most appropriate action for managing fecal incontinence in a hospice client. Keeping disposable undergarments clean and dry helps maintain skin integrity and prevents skin breakdown and discomfort. It also promotes comfort and dignity for the client during this sensitive time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E
Explanation
A. Depression: Depression is characterized by feelings of sadness, hopelessness, and despair. The statement "She's not that sick!" does not directly reflect depressive symptoms.
B. Acceptance: Acceptance is the final stage in Kübler-Ross's stages of dying, characterized by coming to terms with one's impending death or loss. The statement does not indicate acceptance of the situation.
C. Bargaining: Bargaining involves attempts to negotiate or make deals to change the outcome of a situation, often in exchange for a better outcome. The statement does not suggest bargaining behavior.
D. Anger: Anger involves feelings of frustration, resentment, or hostility towards the situation or others. While the statement could potentially lead to anger in others, it does not directly express anger itself. E. Denial: Denial is the initial stage where individuals refuse to accept the reality of their situation or the severity of their illness. The statement "She's not that sick!" directly reflects denial, as it indicates a refusal to acknowledge the seriousness of the situation.
Correct Answer is A,D,E,B,C
Explanation
Sequence of Steps:
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A. Make sure the provider has certified the client’s death
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D. Verify client’s organ and tissue donation status
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E. Remove medical equipment from the client
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B. Cleanse the body while adhering to body fluid precautions
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C. Attach identification tags to the body
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