A hospice nurse is planning care for a client who is near death. Which of the following actions should the nurse include in the client's plan of care to promote the client's comfort?

Elevate the head of the client's bed.

Offer the client ice chips.

Turn the client every 4 hours.

Provide oral care to the client every 6 hours.

Answer and Explanation

The Correct Answer is A

Choice A reason: Elevating the head of the bed can help ease breathing and promote comfort for a client who is near death. This position can reduce the work of breathing and help prevent aspiration, which is crucial for clients with diminished consciousness or swallowing reflexes.

Choice B reason: Offering ice chips may provide some moisture and comfort to the client, but it is not the primary action to promote comfort for a client who is near death. Ice chips should be used cautiously, especially if the client has difficulty swallowing or is unconscious.

Choice C reason: Turning the client every 4 hours is important to prevent pressure ulcers and promote circulation. However, for a client who is near death, repositioning should be done with consideration for the client's comfort and any pain they may be experiencing.

Choice D reason: Providing oral care every 6 hours can help maintain oral hygiene and comfort, especially if the client is unable to perform this task themselves. It can also help prevent infections and manage any discomfort from dryness or buildup in the mouth.

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Correct Answer is C

Explanation

Choice A reason: Ensuring client adherence to the medication regimen is crucial in the treatment of tuberculosis. However, this action alone does not prevent the spread of the disease within the community. Adherence ensures that the client's condition improves and reduces the risk of developing drug-resistant strains of tuberculosis.

Choice B reason: Performing tuberculosis screenings throughout the community is a proactive measure to identify new cases, but it is not the most immediate action required when a nurse learns of an active case. Screenings are part of a broader strategy to control tuberculosis.

Choice C reason: Reporting the active case to the public health department is the correct action. It allows for the implementation of public health measures to prevent the spread of tuberculosis. The health department can initiate contact tracing and ensure that those exposed are tested and treated if necessary.

Choice D reason: Providing education about the manifestations of tuberculosis is important for community awareness, but it is not the immediate action required to prevent the spread. Education is a long-term strategy to help the community recognize symptoms and seek early treatment.

A. Survivors are thankful for having survived the disaster. B. Outside responders are working long hours each day. C. Volunteers are experiencing burnout. D. The community adapts to a new state of normalcy.

Correct Answer is D

Explanation

Choice A reason: This statement is not the best indicator of the recovery phase, as it may reflect the initial reaction of the survivors after the disaster. Survivors may still experience emotional distress, physical injuries, or material losses that require assistance and intervention.

Choice B reason: This statement is not the best indicator of the recovery phase, as it may reflect the ongoing efforts of the outside responders during the disaster. Outside responders may work long hours each day to provide rescue, relief, and support to the affected community.

Choice C reason: This statement is not the best indicator of the recovery phase, as it may reflect the challenges faced by the volunteers during the disaster. Volunteers may experience burnout due to the high demands, stress, and trauma of the disaster situation.

Choice D reason: This statement is the best indicator of the recovery phase, as it reflects the resilience and adaptation of the community after the disaster. The community may restore its functions, services, and resources, and cope with the changes and losses caused by the disaster.

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A hospice nurse is planning care for a client who is near death. Which of the following actions should the nurse include in the client's plan of care to promote the client's comfort?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

Correct Answer is C

Explanation

A public health nurse is assisting in emergency response following a natural disaster in a community. Which of the following situations observed by the nurse indicates the community is in the recovery phase of the disaster?

Correct Answer is D

Explanation

A hospice nurse is planning care for a client who is near death. Which of the following actions should the nurse include in the client's plan of care to promote the client's comfort?

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