A hospice nurse is planning care for a patient who is near death.
Which of the following actions should the nurse include in the patient’s plan of care to promote the patient’s comfort?

Turn the patient every 4 hours.

Elevate the head of the patient’s bed.

Offer the patient ice chips.

Provide oral care to the patient every 6 hours.

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B

Choice A rationale: Turning the patient every 4 hours may prevent pressure ulcers, but it can cause discomfort for a near-death patient. Less frequent repositioning might be more suitable for maintaining comfort during the end-of-life stage.

Choice B rationale: Elevating the head of the patient's bed can help ease breathing difficulties by reducing the pressure on the diaphragm and enhancing lung expansion. This position promotes comfort and reduces the work of breathing, which is beneficial for near-death patients.

Choice C rationale: Offering the patient ice chips can provide temporary relief from dry mouth, but it may not be the most effective measure for ensuring comfort. Adequate hydration and regular oral care are generally more beneficial for maintaining patient comfort.

Choice D rationale: Providing oral care every 6 hours might not be frequent enough to ensure comfort. More frequent oral care, such as every 2 hours, helps maintain moisture in the mouth, reduces discomfort, and prevents infections, enhancing the patient's overall comfort

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Correct Answer is B

Explanation

Choice A rationale

A restorative aide is a healthcare professional who assists patients in regaining their abilities to perform the daily activities of life. They work with patients who have been debilitated by illness, injury, or age. While they can assist in general recovery following a stroke, they do not specialize in helping clients who are experiencing dysphagia.

Choice B rationale

A speech-language pathologist is a professional who diagnoses and treats communication and swallowing disorders in patients. Dysphagia, or difficulty swallowing, is a common complication of stroke, and speech-language pathologists are specifically trained to help these patients. Therefore, a speech-language pathologist would be the most appropriate resource for clients who are experiencing dysphagia following a stroke.

Choice C rationale

A physical therapist is a healthcare professional who helps patients reduce pain and improve or restore mobility. They often work with stroke patients to help them regain physical abilities. However, they do not specialize in treating dysphagia, which is a swallowing disorder.

Choice D rationale

An occupational therapist is a healthcare professional who helps patients develop, recover, improve, and maintain the skills needed for daily living and working. They can assist stroke patients in regaining their abilities to perform daily activities. However, they do not specialize in treating dysphagia.

A. Measure noise levels at various locations in the facility. B. Survey workers about job-related emotional stress. C. Identify industrial toxins that are present in the environment. D. Track rates of illness caused by infection among employees.

Correct Answer is A

Explanation

Choice A rationale

Measuring noise levels at various locations in the facility is a direct method for detecting potential physical hazards in the workplace. Excessive noise can lead to hearing loss and other health issues, making it a critical physical hazard to identify and mitigate.

Choice B rationale

Surveying workers about job-related emotional stress is an important aspect of occupational health nursing, but it does not directly assist in detecting physical hazards. Emotional stress is a psychological hazard, not a physical one. Physical hazards are conditions or substances that can cause bodily harm, such as noise, temperature extremes, radiation, and chemicals.

Choice C rationale

Identifying industrial toxins that are present in the environment is crucial for assessing chemical hazards in the workplace. However, chemical hazards are a separate category from

physical hazards. Physical hazards are factors within the environment that can harm the body without necessarily touching it, such as noise, vibration, and extreme temperatures.

Choice D rationale

Tracking rates of illness caused by infection among employees is a valuable activity in occupational health nursing, but it does not directly help in detecting physical hazards. This activity is more related to biological hazards in the workplace, which include bacteria, viruses, and other infectious agents.

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A hospice nurse is planning care for a patient who is near death. Which of the following actions should the nurse include in the patient’s plan of care to promote the patient’s comfort?

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A hospice nurse is planning care for a patient who is near death.
Which of the following actions should the nurse include in the patient’s plan of care to promote the patient’s comfort?