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 ["75"]
Explanation
Calculation:
1800 mL ÷ 24 hr = 75 mL/hr
Correct Answer is ["B","D","E"]
Explanation
A. Avoid acetaminophen.
Acetaminophen is safe to use; NSAIDs should be avoided due to bleeding risk.
B. Use a soft toothbrush.
Prevents gum bleeding and injury.
C. Stop anticoagulant therapy when symptoms subside.
Dangerous. Anticoagulation must be continued as prescribed to prevent recurrence.
D. Avoid high-impact activities.
Helps reduce the risk of trauma and bleeding.
E. Wear a medical alert bracelet.
Informs healthcare providers in emergencies that the client is on anticoagulants.
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