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.
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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Related Questions
Correct Answer is C
Explanation
Choice A reason:While involving a social worker can provide additional support, it is secondary to first communicating the client's treatment decisions to the primary healthcare provider.
Choice B reason: Understanding the client's reasoning is important; however, the priority is to respect their decision and communicate it to the provider.
Choice C reason: Respect for Autonomy: Clients have the right to make informed decisions about their healthcare, including the refusal of treatment.Effective Communication: By discussing the client's wishes with their healthcare provider, the nurse facilitates a collaborative approach to care planning, ensuring that the client's preferences are acknowledged and respected.
Choice D reason: Instructing the client to change their advance directives may be necessary if the client decides to refuse all treatments, but it is not the first action the nurse should take. Understanding the client's wishes should be the priority.
Correct Answer is C
Explanation
Choice A reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Community support organizations can provide valuable resources and assistance to the client, but they are not essential for the client's safety or recovery.
Choice B reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Spiritual support personnel can provide comfort and guidance to the client, but they are not essential for the client's safety or recovery.
Choice C reason: This statement is the priority action, as it addresses an immediate and urgent need of the client. The physical therapist needs to know the activity restrictions for the client following a hip arthroplasty, as they are responsible for developing and implementing a safe and effective rehabilitation plan for the client.
Choice D reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. A dietitian consult can provide information and education to the client about a vegan diet, but it is not essential for the client's safety or recovery.
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