A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statements should the nurse make?
"Encourage your partner to eat three large meals each day."
"We will use an electric blanket to keep your partner warm."
"Opioids will be restricted if your partner develops respiratory distress."
"Assume your partner can hear you, even if they do not respond."
The Correct Answer is D
Choice A Reason:
"Encourage your partner to eat three large meals each day." In end-of-life care, the focus shifts from large meals to providing comfort and meeting the patient's nutritional needs, which might not involve large meals due to potential decreased appetite or difficulty swallowing.
Choice B Reason:
"We will use an electric blanket to keep your partner warm. “While keeping the patient warm is essential, the use of an electric blanket might not always be appropriate due to the risk of burns or changes in sensation that can occur in some conditions.
Choice C Reason:
"Opioids will be restricted if your partner develops respiratory distress. “This statement might not convey the full context of pain and symptom management in end-of-life care. Opioids are often used judiciously to manage distressing symptoms, including pain and respiratory distress, under careful monitoring rather than being strictly restricted.
Choice D Reason:
"Assume your partner can hear you, even if they do not respond." This statement emphasizes the importance of communication and connection with the partner who may be unresponsive. Research suggests that hearing may persist even when a person is unable to respond, so speaking to the person respectfully and with care can provide comfort and support during this time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Steatorrhea is correct. Cystic fibrosis (CF) can lead to issues with digestion and absorption of nutrients due to problems with pancreatic enzymes. Steatorrhea, which is the passage of foul-smelling, fatty stools, is a common symptom in individuals with CF due to pancreatic insufficiency. It occurs because the body cannot properly digest and absorb fats, resulting in their presence in the stool.
Choice B Reason:
Weight gain is incorrect. Typically, children with CF might have difficulty gaining weight due to malabsorption issues, despite having a good appetite.
Choice C Reason:
Rhinorrhea is incorrect. While respiratory symptoms like chronic cough and recurrent infections are common in CF due to thick mucus production, rhinorrhea (runny nose) might not be a prominent feature directly associated with CF.
Choice D Reason:
Visible peristalsis is incorrect. This refers to the visible movement of the intestines through the abdomen, which is not typically associated with CF. CF primarily affects the respiratory and digestive systems, and visible peristalsis is not a common finding specifically related to CF.
Correct Answer is D
Explanation
Choice A Reason:
Acknowledge the family members' feelings of guilt. While it's important to validate the family's feelings and provide emotional support, assuming or acknowledging guilt without evidence could be harmful. Instead, the nurse should offer empathy and support without attributing blame.
Choice B Reason:
Discourage the parents from allowing siblings to view the body. The decision of whether siblings should view the body is personal and should be respected based on the family's beliefs and preferences. The nurse should offer guidance and support, allowing the family to make an informed decision.
Choice C Reason:
Avoid discussing details of the attempt to revive the infant. Discussing the attempt to revive the infant might help the family understand the medical interventions performed and the efforts made. However, it should be approached with sensitivity and based on the family's readiness to receive such information.
Choice D Reason:
Provide a follow-up phone call 1 week following the infant's death. Following up with the family after a week allows for ongoing support, assessment of their emotional well-being, and providing additional resources or guidance as needed during the grieving process.
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