A nurse is caring for a client who has ovarian cancer and is in the end stages of the dying process.
Provider Prescriptions
Admission: Do-not-resuscitate (DNR) prescription 0940:
Oxycodone acetaminophen 5 mg/325 mg one tablet every 6 hr PRN for pain 1550:
Proceed with withdrawal of mechanically administered nutrition and hydration (MANH)
A nurse is planning care for a client who has requested withdrawal of medically administered nutrition and hydration (MANH). Which of the following should the nurse include in the plan of care? Select all that apply.
(Select All that Apply.)
Support client-requested rituals.
Encourage family to be present for MANH.
Following withdrawal of MANH, offer mouth sponges with preferred flavors as needed.
Request spiritual advisor visit, if applicable
Following withdrawal of MANH, suction oral cavity for pooling of secretions as needed
Educate client on the steps of the dying process
Correct Answer : A,B,C,D,E
Supporting the client's rituals can provide comfort and dignity during this challenging time. It honors their preferences and cultural or religious beliefs, contributing to their overall well-being.
Having loved ones present can offer emotional support to both the client and their family members during the withdrawal of MANH. It allows for meaningful connections and facilitates closure.
Providing mouth sponges with preferred flavors can help alleviate dryness and discomfort in the oral cavity that may occur after the withdrawal of MANH. It promotes comfort and enhances the client's quality of life.
Spiritual support can be valuable for clients and their families during the end-of-life process. If the client desires spiritual guidance or support, arranging for a visit from a spiritual advisor can address their spiritual needs and provide comfort.
Suctioning the oral cavity for pooling secretions can help maintain the client's comfort and prevent aspiration, particularly if the client is unable to swallow effectively. It supports respiratory hygiene and comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A subculture refers to a group within a larger culture that shares certain beliefs, behaviors, values, and norms that are different from those of the dominant culture or mainstream society. These differences can manifest in various aspects of life, including language, fashion, music, hobbies, interests, and social norms.
Correct Answer is C
Explanation
Assessing the client's ability to function is crucial for understanding the impact of grief and depression on their daily life and functioning. Evaluating functional status helps determine the severity of the client's condition and guides interventions to promote recovery and improve quality of life.
A. Spiritual assessment is valuable for understanding the client's beliefs, values, and sources of strength, but it may not directly address the client's current symptoms of grief, depression, and associated sleep disturbances, weight loss, anger, and irritability.
B. While assessing cultural factors is important for providing culturally sensitive care, it may not be the immediate priority compared to addressing the client's symptoms and functional status.
D. Social support plays a significant role in coping with grief and depression. However, while social support is important, the immediate priority may be to address the client's symptoms and functional status.
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