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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bereavement: Bereavement refers to the period of mourning and adjustment that follows the loss of a loved one. It encompasses the range of emotions and behaviors experienced after a death.
B. Depression: Depression is a mood disorder characterized by persistent feelings of sadness, hopelessness, and loss of interest or pleasure in activities. While grief can manifest as symptoms of depression, they are distinct concepts.
C. Grief: Grief is the emotional response to loss, encompassing a range of feelings such as sadness, anger, guilt, and despair. It is a natural and adaptive reaction to the death of a loved one or other significant losses.
D. Sadness: Sadness is a transient emotional state characterized by feelings of sorrow, unhappiness, or low spirits. While sadness is often a component of grief, grief involves a broader range of emotional responses to loss.
Correct Answer is B
Explanation
A. Bargaining: Bargaining refers to a stage in Kübler-Ross's model of grief and acceptance, where individuals attempt to negotiate or make deals to change the outcome of a situation.
B. Palliation: Palliation refers to the relief of symptoms when a cure is no longer possible. It focuses on providing comfort and improving the quality of life for individuals with serious illnesses, particularly in the end stages of life.
C. Reorganization: Reorganization, also known as the reconstruction stage, is part of Worden's Four Tasks of Mourning model. It involves integrating the loss into one's life and forming new roles, routines, and relationships in the absence of the deceased.
D. Assisted Suicide: Assisted suicide involves intentionally helping a person end their life, typically due to incurable suffering or terminal illness. It is a highly controversial and legally restricted practice in many jurisdictions.
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