A patient who is terminally ill has been unable to maintain good nutrition because of nausea and anorexia and has lost a great deal of weight. He is now unable to change his position in bed and needs frequent perineal care because of urinary incontinence. The nurse planning his care would include in the plan of care to:
provide laxatives and stool softeners to prevent constipation.
provide him with an air pressure mattress
coax him to eat high-calorie, high-fat food.
contact the primary care provider for an order for tube feeding.
The Correct Answer is B
Provide laxatives and stool softeners to prevent constipation (Option A): While constipation may be a concern for immobile patients, there is no indication in the scenario that the patient is currently experiencing constipation. Therefore, providing laxatives and stool softeners would not be a priority at this time.
Provide him with an air pressure mattress (Option B): This option is appropriate because the patient is immobile and at risk of developing pressure ulcers due to prolonged bed rest. An air pressure mattress helps distribute pressure evenly and reduces the risk of pressure ulcer formation, which is crucial for maintaining skin integrity and preventing complications.
Coax him to eat high-calorie, high-fat food (Option C): Although the patient is experiencing weight loss due to poor nutrition, coaxing him to eat high-calorie, high-fat food may not be appropriate if he is experiencing nausea and anorexia. This approach may exacerbate gastrointestinal symptoms and discomfort.
Contact the primary care provider for an order for tube feeding (Option D): While tube feeding may be considered if the patient is unable to meet his nutritional needs orally, it should not be the first intervention. Before considering tube feeding, other options for improving oral intake and addressing nausea and anorexia should be explored. Additionally, tube feeding may not address the patient's immobility and risk of pressure ulcers. Therefore, providing an air pressure mattress is a more appropriate intervention in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bargaining: Bargaining refers to a stage in Kübler-Ross's model of grief and acceptance, where individuals attempt to negotiate or make deals to change the outcome of a situation.
B. Palliation: Palliation refers to the relief of symptoms when a cure is no longer possible. It focuses on providing comfort and improving the quality of life for individuals with serious illnesses, particularly in the end stages of life.
C. Reorganization: Reorganization, also known as the reconstruction stage, is part of Worden's Four Tasks of Mourning model. It involves integrating the loss into one's life and forming new roles, routines, and relationships in the absence of the deceased.
D. Assisted Suicide: Assisted suicide involves intentionally helping a person end their life, typically due to incurable suffering or terminal illness. It is a highly controversial and legally restricted practice in many jurisdictions.
Correct Answer is C
Explanation
A. Obituary: An obituary is a notice of a person's death, typically including a brief biography and details of the funeral arrangements. It is a written announcement or notice of someone's passing, usually published in newspapers or online. Obituaries do not involve the examination of body organs and tissues after death; rather, they serve as a tribute to the deceased.
B. Postmortem care: Postmortem care refers to the care provided to the body of a deceased person, including cleaning, preparing for viewing, and ensuring dignity in handling. It involves activities such as bathing, dressing, and positioning the body. Postmortem care does not involve the examination of body organs and tissues for diagnostic or investigative purposes.
C. Autopsy: An autopsy is the examination of a body after death to determine the cause of death or to study the extent and nature of disease processes. It involves a thorough examination of body organs and tissues, often including dissection and analysis under a microscope. Autopsies are performed by pathologists and are typically ordered by medical examiners, coroners, or physicians to gather information about the circumstances surrounding a person's death.
D. Transplant: Transplantation involves the surgical removal of an organ or tissue from one person (the donor) and its transfer to another person (the recipient) to replace a damaged or failing organ. Transplants are performed while the donor is alive (living donor) or after death (deceased donor). However, the examination of body organs and tissues after death is not specifically related to the transplant process.
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