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. 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.
Correct Answer is C
Explanation
A. General anesthesia is not typically used for thoracentesis, which is a minimally invasive procedure performed under local anesthesia.
B. While it's important for the client to remain still during the procedure, lying flat for 6 hours following thoracentesis is unnecessary and may increase the risk of complications such as discomfort or respiratory compromise.
C. Having a chest x-ray following the procedure is essential to assess for any complications such as pneumothorax or hemothorax, and to ensure proper lung re-expansion.
D. During thoracentesis, the client is typically instructed to remain still and breathe normally.
Deep breathing through the nose is not specifically indicated during the procedure.
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