A nurse is caring for a client who is near death. Which of the following actions should the nurse take?

Administer scheduled pain medications.

Provide oral care every 6 hr.

Administer liquids using a syringe.

Whisper when talking to family members.

Answer and Explanation

The Correct Answer is A

A.   Administer scheduled pain medications is appropriate because providing comfort is a priority in end-of-life care. Administering scheduled pain medications helps alleviate any discomfort or pain the client may be experiencing.
B.   Providing oral care every 6 hr may not be necessary in the end-of-life stage, as the client's ability to tolerate oral care may decrease, and excessive oral care may cause discomfort.
C.   Administering liquids using a syringe may not be appropriate if the client is unable to swallow or if there are concerns about aspiration.
D.   Whispering when talking to family members is not necessary; instead, the nurse should communicate in a calm and clear manner, adjusting the volume and tone as needed to accommodate the client's condition and preferences.

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Correct Answer is A

Explanation

A. This is the correct answer. Flushing the tubing with water after medication administration ensures that the medication reaches the stomach and prevents any residue from remaining in the tubing.
B. Clamping the tubing is not typically necessary after medication administration and may impede the flow of subsequent medications or enteral feedings.
C. While checking the patency of the tubing is important before medication administration, it is not specifically performed after administering the medication.
D. Aspirating the tubing after medication administration is not necessary and may disrupt the delivery of the medication into the stomach.

A. Discuss the client's feelings prior to the panic attack. B. Encourage the use of positive self-talk strategies. C. Instruct the client to use abdominal breathing. D. Administer an antianxiety medication.

Correct Answer is C

Explanation

A. Discussing the client's feelings prior to the panic attack may be helpful during a debriefing session but is not the priority during an acute panic attack.
B. While positive self-talk strategies can be beneficial for managing anxiety, they may not be effective during the acute phase of a panic attack when the client is experiencing overwhelming symptoms.
C. Instructing the client to use abdominal breathing helps to regulate breathing patterns and reduce the intensity of the panic attack by activating the parasympathetic nervous system.
D. Administering an antianxiety medication may be necessary in severe cases of panic attacks, but it is not typically the first intervention. Non-pharmacological techniques such as breathing exercises should be attempted first.

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A nurse is caring for a client who is near death. Which of the following actions should the nurse take?

Nursing Test Bank

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