A nurse is caring for a client who is in the late stage of the dying process.
Which of the following interventions should the nurse perform for this client? Select all that apply.
Place client in supine position with foot of bed elevated.
Place ice chips in mouth as needed.
Apply lubricating [LW1] ophthalmic drops PRN.
Administer furosemide 40 mg orally.
Administer albuterol nebulizer treatments 10 mg every 1 to 4 hr PRN.
Swab mouth with moisturizer as needed.
Correct Answer : B,C,F
A. Supine with foot of bed elevated
Can worsen respiratory effort in dying clients.
B. Place ice chips in mouth
Helps soothe dry mouth and maintain comfort.
C. Lubricating eye drops PRN
Maintains moisture and prevents eye irritation when blinking diminishes.
D. Administer furosemide
Not indicated in comfort care/DNR-focus is not on aggressive fluid removal.
E. Albuterol every 1–4 hr
Not typically part of end-of-life comfort care unless specifically needed for comfort.
F. Swab mouth with moisturizer
Prevents dryness, cracking-important for comfort in the dying process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Support nursing regulators..."
Reflects a role of a board of nursing, not the ANA.
B. "Provide solutions to mental health..."
While community-focused, this doesn’t directly relate to the benefits of ANA membership.
C. "I have ideas for empathetic care..."
Innovative, but not directly connected to ANA benefits.
D. "Join ANA to stay current with trends..."
ANA provides continuing education, advocacy, and resources for professional development.
Correct Answer is D
Explanation
A. BUN 18 mg/dL
Within normal range; not specific to DKA.
B. Serum sodium 140 mg/dL
Normal; not diagnostic of DKA.
C. Arterial blood pH 7.46
Indicates alkalosis; DKA involves metabolic acidosis.
D. Serum bicarbonate less than 15
Indicates metabolic acidosis, which is hallmark of DKA.
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