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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hemoglobin (Hgb) of 12 g/dL is within the normal range for a pregnant individual and does not typically require notification of the provider.
B. Platelet count of 90,000/mm3 is below the normal range (typically 150,000 to 400,000/mm3) and may indicate thrombocytopenia, which can be associated with conditions such as preeclampsia or HELLP syndrome. The nurse should notify the provider about this result.
C. Hematocrit of 37% is within the normal range for a pregnant individual and does not typically require notification of the provider.
D. Creatinine level of 0.7 mg/dL is within the normal range and does not typically require notification of the provider.
Correct Answer is B
Explanation
A. Projection involves attributing one's own unacceptable thoughts or feelings to another person. In this scenario, the client is not blaming others for their behavior but rather providing a reason for their behavior.
B. Rationalization involves providing logical-sounding explanations to justify behavior that might otherwise be unacceptable. The client's explanation that their recent behavior is due to the loss of their job is an example of rationalization.
C. Repression involves blocking out or pushing away unacceptable thoughts or feelings from conscious awareness.
D. Sublimation involves channeling unacceptable impulses or emotions into socially acceptable activities or behaviors.
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