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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Sheriff: The sheriff is responsible for enforcing law and order within a specific jurisdiction and is not typically involved in investigating deaths unless there is suspected criminal activity.

B. Board of death: There is no standard entity known as the "Board of death" in the context of death investigations.

C. Coroner: The coroner is a public official responsible for investigating and determining the cause of deaths that occur under sudden, unexpected, suspicious, or unexplained circumstances. The coroner may conduct autopsies or order further investigations to ascertain the cause and manner of death.

D. Pathologist: A pathologist is a medical professional specializing in the study of disease processes through the examination of tissues and body fluids. While a pathologist may be involved in conducting autopsies and analyzing specimens, they typically work under the direction of the coroner or medical examiner in cases of suspicious deaths.

A. bereavement B. depression. C. grief D. sadness

Correct Answer is C

Explanation

A. Bereavement: Bereavement refers to the period of mourning and adjustment that follows the loss of a loved one. It encompasses the range of emotions and behaviors experienced after a death.

B. Depression: Depression is a mood disorder characterized by persistent feelings of sadness, hopelessness, and loss of interest or pleasure in activities. While grief can manifest as symptoms of depression, they are distinct concepts.

C. Grief: Grief is the emotional response to loss, encompassing a range of feelings such as sadness, anger, guilt, and despair. It is a natural and adaptive reaction to the death of a loved one or other significant losses.

D. Sadness: Sadness is a transient emotional state characterized by feelings of sorrow, unhappiness, or low spirits. While sadness is often a component of grief, grief involves a broader range of emotional responses to loss.

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Naxlex Comprehensive Predictor Exams

A death that occurs under suspicious circumstances should be reported to the

Correct Answer is C

Explanation

The emotional feeling of pain and loss is known as

Correct Answer is C

Explanation

When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler Ross's level of:

A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?

An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:

The examination of body organs and tissues after death is known as a/an:

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

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Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "l feel so hopeless about Mom's condition. "

A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as: