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.
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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Related Questions
Correct Answer is A
Explanation
A: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, especially when taken regularly. Given that the client is on warfarin, a blood thinner used to prevent new clots from forming and existing clots from growing larger, the use of ibuprofen could interfere with its effectiveness and increase the risk of a bleeding event. This is a priority concern for a patient with a history of deep-vein thrombosis. B: While transportation is important for the client to receive care, it does not pose an immediate risk to the client's health compared to the potential interaction between ibuprofen and warfarin.
C: Difficulty with applying compression stockings can contribute to discomfort and noncompliance with treatment, which can impede recovery. However, this does not present an immediate risk as significant as the potential drug interaction.
D: Consuming 15 g of fiber daily is generally a positive health behavior and does not present a direct risk to the client's health in the context of deep-vein thrombosis and the current medications.
Correct Answer is D
Explanation
A. Children whose parents have college degrees may have more access to resources and support systems, potentially reducing the risk of physical abuse.
B. Children who were born after 38 weeks of gestation do not inherently have an increased risk of physical abuse based solely on gestational age at birth.
C. Children whose parents are married may have more stability in their family environment, potentially reducing the risk of physical abuse.
D. Children who live in crowded homes may experience increased stress and tension, leading to a higher risk of physical abuse due to the potential for conflict and limited space.
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