The assistive personnel (AP) is caring for a dying client. Which action by the AP will cause the nurse to intervene?
Keeping skin clean, dry, and moisturized.
Elevating the head of the bed.
Making the client eat.
Assisting the client into a more comfortable position.
The Correct Answer is C
A. Keeping skin clean, dry, and moisturized: Good skin care promotes comfort and helps prevent breakdown -an appropriate action for a dying client.
B. Elevating the head of the bed: Elevating the head can relieve dyspnea or improve comfort and is an appropriate supportive measure.
C. Making the client eat: Forcing oral intake near the end of life can cause distress, aspiration risk, and discomfort; appetite often diminishes naturally, so this action requires nurse intervention and reassessment of goals of care.
D. Assisting the client into a more comfortable position: Helping a dying client into comfort-enhancing positions is appropriate and supports dignity and symptom relief.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Potassium, vancomycin, insulin, and furosemide: Potassium and insulin are high-risk, but vancomycin and furosemide are not classified as standard high-alert meds by ISMP.
B. Opioid and non-opioid pain medications: Opioids are high-risk, but non-opioid pain meds (like acetaminophen) are not considered high-alert.
C. Potassium, insulins, opioids, chemotherapeutics, and heparin:. These are classic high-alert medications due to their high potential for harm if used incorrectly.
D. Antibiotics, antifungals, antianginals, and anticoagulants: While anticoagulants (like heparin, warfarin) are high-risk, the rest are not universally classified as high-alert.
Correct Answer is ["A","B","C","D","H"]
Explanation
A. connecting: Chosen as the item that best represents acceptance from the Kubler-Ross model -reconnecting with others or reestablishing a new sense of meaning is consistent with the final stage.
B. denial: Represents the initial stage characterized by shock, disbelief, or refusal to accept the reality of loss.
C. anger: Reflects frustration, resentment, or hostility directed toward the situation, others, or oneself during the grieving process.
D. depression: A stage involving deep sadness, withdrawal, and decreased interest in usual activities as the reality of loss is processed.
E. aggression: Describes hostile or violent behavior, which is not one of the five Kubler-Ross stages and refers more to acting out than to a recognized grief stage.
F. controlling: Refers to attempts to manage or micromanage situations and is not one of the five stages of grief.
G. distancing: Means withdrawing or avoiding others; while it can appear in grief, it isn’t listed as one of the classic five stages.
H. bargaining: Involves attempts to negotiate or make deals (often with a higher power) in hopes of reversing or delaying the loss and is one of the five stages.
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