The nurse is discussing the use of artificial nutrition with the family of a client who is unable to take oral nutrition and is approaching end-of-life. Which of the statements would be appropriate for the nurse to include in the discussion about the use of artificial nutrition in dying clients?

It has limited if any impact on the client's comfort level.

It can lower the incidence of infection when a client is bedridden.

It can improve the client's metabolism and blood circulation.

It can alleviate hunger that clients have when unable to have any oral feedings.

Answer and Explanation

The Correct Answer is A

A. Artificial nutrition often has limited impact on comfort at the end of life and may not contribute to the client's overall well-being. It is generally focused on sustaining life rather than improving comfort.
B. Artificial nutrition does not significantly lower the incidence of infection in bedridden clients. Proper infection control practices are more relevant in preventing infections.
C. Artificial nutrition is unlikely to significantly improve metabolism or blood circulation in dying clients, as the focus is typically on managing symptoms and comfort.
D. Alleviating hunger is not usually a primary goal of artificial nutrition in end-of-life care. The primary focus is often on comfort rather than addressing hunger.

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Correct Answer is B

Explanation

A. While refusal to eat can be a normal part of the dying process, it is important to address the family’s concerns and provide comfort, rather than dismissing their worries.
B. Refusing to eat at the end of life can often lead to a sense of peacefulness and is a common part of the dying process. It’s important to reassure the family and focus on comfort.
C. Planning a schedule for high-calorie liquids may not be appropriate or aligned with the client’s comfort and goals of care at the end of life.
D. A feeding tube is generally not indicated in hospice care as it may not contribute to the comfort and quality of life for the client at this stage.

A. "Palliative care allows aggressive treatment of the disease." B. "Palliative care provides better methods of pain control." C. "Hospice care is for clients expected to live for a year or more." D. "Hospice care is not available if I am in the hospital."

Correct Answer is B

Explanation

A. Palliative focuses on relieving symptoms and improving quality of life of patients and not aggressive treatment. This statement reflects an accurate understanding of palliative care.
B. Palliative care focuses on providing relief from the symptoms and stress of a serious illness, with the goal of improving quality of life for both the patient and the family. It is appropriate at any age and at any stage in a serious illness and can be provided alongside curative treatment.
C. Hospice care is typically for clients expected to live six months or less, not a year or more. This statement reflects a misunderstanding of hospice care criteria.
D. Hospice care can be provided in various settings, including hospitals, and is not restricted to home care only. This statement indicates a lack of understanding of the flexibility of hospice care services.

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The nurse is discussing the use of artificial nutrition with the family of a client who is unable to take oral nutrition and is approaching end-of-life. Which of the statements would be appropriate for the nurse to include in the discussion about the use of artificial nutrition in dying clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is B

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