The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?

"We recommend that you sit at your parent's bedside so you can document the time of death."

"Limit the amount of environmental noise in your parent's room to decrease stimulation."

"This may be very difficult for you to watch your parent, so take some respite time to re-charge."

"Family often uses this time to tell their parent that it is okay to let go."

Answer and Explanation

The Correct Answer is B

A. Documenting the time of death is not an immediate concern during the process of terminal delirium and does not directly address the patient's comfort.
B. Limiting environmental noise helps reduce stimulation, which can be beneficial for a patient experiencing terminal delirium and unresponsiveness, helping to maintain a calm environment.
C. While taking respite time may be necessary for family members, it does not directly address the needs of the patient with terminal delirium.
D. Telling the patient it is okay to let go is emotionally supportive but does not address the immediate need to manage symptoms and provide comfort during terminal delirium.

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Correct Answer is C

Explanation

A. The OASIS is not used by state governments to verify Medicare status; it is used for assessing clients' needs and outcomes.
B. The OASIS is specific to home health care and not designed for all clients receiving any kind of service.
C. The OASIS is crucial for determining Medicare reimbursement rates for home health care services, making accuracy important for financial and care planning.
D. The OASIS is not a framework for assigning healthcare personnel; it is used for assessing patient outcomes and care needs.

A. Teaching the client's family about the signs of worsening heart failure and when to contact the healthcare provider B. Educating the client about medication side effects C. Administering the influenza vaccine to the client D. Educating the client about dietary modifications to manage heart failure symptoms

Correct Answer is A

Explanation

A. Teaching the client’s family about recognizing signs of worsening heart failure and when to seek help is a tertiary prevention strategy aimed at managing and reducing complications of an existing condition.
B. Educating about medication side effects is important for managing treatment but is not specifically focused on preventing complications or managing disease progression.
C. Administering the influenza vaccine is a primary prevention strategy to prevent illness rather than managing an existing condition.
D. Educating about dietary modifications helps manage symptoms but does not directly address the prevention of complications in the context of tertiary prevention.

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The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing an Outcome and Assessment Information Set (OASIS) for a client who is on Medicare. Which of the following statements would describe the importance of accuracy in completing this form?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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