A nurse is caring for a client who is in the late stage of the dying process.
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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Gently place a hand on the client's arm during conversation
Avoid touching an anxious or potentially aggressive client-may escalate agitation.
B. Employ active listening skills
Validates feelings and promotes therapeutic communication.
C. Administer an anxiolytic medication
Client is showing signs of withdrawal and agitation-medication may be indicated.
D. Explain behavioral limits
Setting limits provides structure and promotes safety.
E. Assist in identifying source of anger
Supports emotional processing and de-escalation.
Correct Answer is C
Explanation
A. Partner with a nonprofit farmers' market.
Helpful for food access, but doesn’t address transportation or mobility for elderly.
B. Teach dangers of lead-based paint.
Relevant for younger populations or in homes with children.
C. Advocate for more transportation to health facilities.
Most appropriate for helping elderly on fixed incomes access care.
D. Write grants for childcare funding.
Beneficial for children, but not relevant to the elderly population in question.
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