A nurse is caring for an alert and oriented client who has terminal lung cancer. The nurse observes the client's family assisting with all ADLs. Which of the following rationales for self-care should the nurse communicate to the family on behalf of the client?
The client's sense of loss can be lessened through retaining dignity and control of certain areas of their life such as ADLs.
Allowing the client to function independently will strengthen their muscles and promote healing from the illness.
The client's decision in regards to their care should not influence their family's decision to assist with ADLs.
The ADLs can only be performed by a member of the healthcare team.
The Correct Answer is A
The correct answer is choice A. The rationale for self-care that the nurse should communicate to the client's family is that the client's sense of loss can be lessened through retaining dignity and control of certain areas of their life such as ADLs. Allowing the client to perform self-care activities independently, to the extent possible, promotes the client's autonomy and helps to preserve their selfesteem and sense of control over their life. As the client nears the end of life, it is important to respect their wishes and promote their comfort and well-being in every way possible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["725"]
Explanation
Intake = IV fluid + antibiotic
From 0700-0900 (2 hours), the patient received 100 mL/hr of IV fluid: 100 mL/hr x 2 hours = 200 mL
From 1000-1030 (0.5 hours), the patient received Kefzol 1 g in 25 mL of D5W over 30 minutes:
25 mL
From 1030-1530 (5 hours), the patient received 100 mL/hr of IV fluid: 100 mL/hr x 5 hours = 500 mL
Total intake from 0700-1530 = 200 mL + 25 mL + 500 mL = 725 mL. Therefore, the patient's intake from 0700 to 1530 was 725 mL.
Correct Answer is A
Explanation
The correct answer is choice A, low-calorie dense foods. Low-calorie dense foods are those that have fewer calories per unit of volume, such as fruits, vegetables, and lean protein sources. These foods can help the client feel full and satisfied while still consuming fewer calories, which is important for weight loss. High trans fat foods (choice B) and high-glycemic index foods (choice C) should be avoided or limited as they can contribute to weight gain and other health problems. Highcalorie dense foods (choice D) should also be avoided or limited as they can provide too many calories without providing enough nutrients.
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