Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a client who is in the late stage of the dying process.

Exhibits

Which of the following interventions should the nurse perform for this client? Select all that apply.

Place client in supine position with foot of bed elevated.

Place ice chips in mouth as needed.

Apply lubricating [LW1] ophthalmic drops PRN.

Administer furosemide 40 mg orally.

Administer albuterol nebulizer treatments 10 mg every 1 to 4 hr PRN.

Swab mouth with moisturizer as needed.

Answer and Explanation

Correct Answer : B,C,F

A. Supine with foot of bed elevated
Can worsen respiratory effort in dying clients.

B. Place ice chips in mouth
Helps soothe dry mouth and maintain comfort.

C. Lubricating eye drops PRN
Maintains moisture and prevents eye irritation when blinking diminishes.

D. Administer furosemide
Not indicated in comfort care/DNR-focus is not on aggressive fluid removal.

E. Albuterol every 1–4 hr
Not typically part of end-of-life comfort care unless specifically needed for comfort.

F. Swab mouth with moisturizer
Prevents dryness, cracking-important for comfort in the dying process.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Diarrhea and requests clear liquids
This is non-urgent. The client is stable and can eat as tolerated.

B. Type 1 DM, fasting glucose of 150
A fasting glucose of 150 is slightly elevated but not a priority compared to potential neurovascular compromise.

C. Pneumonia with axillary temp of 38°C
Mild fever is expected with pneumonia; not an immediate concern.

D. Cast on leg with numbness/paresthesia
This may indicate compartment syndrome or impaired circulation and requires immediate assessment to prevent permanent damage.

A. Weight gain B. Breathlessness C. Anorexia D. Distended abdomen

Correct Answer is B

Explanation

A. Weight gain
More related to right-sided heart failure from fluid retention.

B. Breathlessness
Classic symptom of left-sided heart failure due to pulmonary congestion.

C. Anorexia
More typical of right-sided heart failure due to GI tract congestion.

D. Distended abdomen
Reflects ascites and right-sided heart failure.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who is in the late stage of the dying process. Exhibits Which of the following interventions should the nurse perform for this client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing four clients on a medical-surgical unit. Which of the following clients should the nurse care for first?

Correct Answer is D

Explanation

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

Correct Answer is B

Explanation

A nurse is providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?

A nurse in an emergency department is preparing to care for a client who is being brought in with multiple system trauma following a motor vehicle crash. Which of the following should the nurse identify as the priority focus of care?

A nurse is providing care for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client most likely to be diagnosed with diabetic ketoacidosis (DKA)?

A nurse is caring for a client who is struggling with alcohol overuse. Which of the following statements would be appropriate for the nurse to make?

A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?

A nurse is caring for a client who has been admitted with chronic obstructive pulmonary disease. Exhibits Select the 4 priority findings that require immediate follow-up.

A nurse is caring for a client who is experiencing manifestations of alcohol withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?

A nurse is reinforcing teaching to a newly licensed community nurse about the benefits of being part of the American Nurses Association (ANA). Which response by the newly licensed nurse indicates understanding of the information presented?

A nurse is caring for a client who is in the late stage of the dying process.

Exhibits

Which of the following interventions should the nurse perform for this client? Select all that apply.