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 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.

A. "Describe the place where you are currently living." B. "Apply moisture barrier ointment three times a day." C. "A social worker can help you with the cost of supplies." D. "Eat a balanced diet with high-protein snacks."

Correct Answer is A

Explanation

Choice A reason: Understanding the client's living situation is crucial for planning appropriate care post-discharge. The environment must accommodate the special bed and provide a safe space for recovery.

Choice B reason: While applying moisture barrier ointment is important for skin protection, it is not the first action to take when planning discharge. The immediate environment must first be assessed for suitability.

Choice C reason: Assistance with the cost of supplies is valuable, but it is secondary to ensuring the client's living conditions are conducive to recovery and proper care.

Choice D reason: Nutrition is essential for healing, but the initial focus should be on the client's living arrangements to ensure they support the required care and equipment.

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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

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Correct Answer is A

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