A nurse is caring for a client who is near death. Which of the following actions should the nurse take?
Administer scheduled pain medications.
Provide oral care every 6 hr.
Administer liquids using a syringe.
Whisper when talking to family members.
The Correct Answer is A
A. Administer scheduled pain medications is appropriate because providing comfort is a priority in end-of-life care. Administering scheduled pain medications helps alleviate any discomfort or pain the client may be experiencing.
B. Providing oral care every 6 hr may not be necessary in the end-of-life stage, as the client's ability to tolerate oral care may decrease, and excessive oral care may cause discomfort.
C. Administering liquids using a syringe may not be appropriate if the client is unable to swallow or if there are concerns about aspiration.
D. Whispering when talking to family members is not necessary; instead, the nurse should communicate in a calm and clear manner, adjusting the volume and tone as needed to accommodate the client's condition and preferences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Nitrites negative is a normal finding and does not typically require notification of the provider. Nitrites are usually present in the urine when there is a urinary tract infection.
B. Ketones positive in the urine can indicate diabetic ketoacidosis (DKA), which is a serious condition requiring prompt medical attention. Therefore, the nurse should notify the provider about this result.
C. Uric acid levels can be elevated in conditions such as gout or kidney disease, but the specific value provided is within the normal reference range for a 24-hour urine collection. Therefore, it does not warrant immediate notification.
D. Specific gravity of 1.020 is within the normal range (typically 1.005 to 1.030) and does not usually require notification of the provider.
Correct Answer is C
Explanation
A. The ability to remove her own socks demonstrates motor skills development and independence, which are appropriate for an 18-month-old toddler.
B. Having a security blanket is a common comfort item for toddlers and is not typically a cause for concern.
C. The ability to say four words is below the expected language development milestone for an 18-month-old toddler, who should typically be saying 10 or more words by this age. Therefore, this finding should be reported to the provider for further evaluation.
D. Throwing a ball without falling demonstrates gross motor skills development, which is appropriate for an 18-month-old toddler.
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