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 hours.

c) Administer liquids using a syringe.

Whisper when talking to family members.

Answer and Explanation

The Correct Answer is A

The nurse should administer scheduled pain medications to a client who is near death. This is an important nursing intervention to ensure that the client is comfortable and free from pain.

b) Providing oral care every 6 hours is important, but it may not be the highest priority for a client who is near death.

c) Administering liquids using a syringe may not be necessary or appropriate for a client who is near death.

d) Whispering when talking to family members is not necessary. The nurse should communicate openly and honestly with the family members.

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Correct Answer is A

Explanation

a. Giving broad openings

The nurse is using the therapeutic technique of giving broad openings. This technique encourages the client to freely express themselves and choose the focus of the conversation. By asking, "What has been happening with you today?" the nurse is inviting the client to share their thoughts, feelings, and experiences without imposing any specific topic or direction.

Explanation for the other options:

b. Focusing: Focusing is a therapeutic technique where the nurse directs the conversation to a specific topic or issue. In this scenario, the nurse is not guiding the client's response toward a particular area of discussion.

c. Reﬂecting: Reﬂecting is a therapeutic technique where the nurse repeats or paraphrases the client's words or feelings to demonstrate understanding and encourage further exploration. The nurse's statement in this scenario does not involve reﬂecting the client's words or feelings.

d. Seeking clarification: Seeking clarification is a therapeutic technique used to obtain more specific information or clear up any confusion. The nurse's statement in this scenario does not involve seeking clarification from the client.

In summary, by using a broad opening, the nurse allows the client to choose the focus of the conversation

and encourages them to share their experiences and concerns.

A. Document the client's respiratory rate in 1 hr. B. Monitor the client for an allergic reaction for 30 min. C. Check the client's response to the medication in 1 hr. D. Evaluate the client for therapeutic eﬀects in 30 min.

Correct Answer is A

Explanation

After the nurse administers a PRN pain medication to a client, the nurse can assign the assistive personnel (AP) to document the client's respiratory rate in 1 hour. This is within the scope of practice of an AP.

The other tasks are not appropriate for an AP to perform.

Monitoring the client for an allergic reactionand evaluating the client for therapeutic eﬀects are both nursing assessments that should be performed by the nurse.

Checking the client's response to the medication is also a nursing assessment that should be performed by the nurse.

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A nurse is caring for a client who is near death. Which of the following actions should the nurse take?

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