A nurse is caring for a client who is receiving hospice care in the home. The family asks, "how will we know when death is near?" The nurse should inform the family that which of the following signs indicates that death is approaching? (Select all that apply.)

Confusion and restlessness.

Increased appetite and thirst.

Increase in urinary and bowel output.

Increased fatigue and sleep.

Excess secretions in the throat and decrease swallow reflex.

Answer and Explanation

Correct Answer : A,D,E

A. Confusion and restlessness: Confusion and restlessness can indicate changes in cerebral perfusion as the body begins to shut down. These signs may occur as death approaches.

B. Increased appetite and thirst: Increased appetite and thirst are less likely as death approaches.

In fact, clients often have decreased appetite and thirst as the body's systems slow down.

C. Increase in urinary and bowel output: As death approaches, urinary and bowel output typically decrease as the body's metabolic processes slow down.

D. Increased fatigue and sleep: Increased fatigue and sleepiness are common as death approaches. The body's energy levels decrease, leading to increased periods of sleep and rest.

E. Excess secretions in the throat and decrease swallow reflex: Excess secretions in the throat and a decrease in the swallow reflex can occur as the body's ability to manage secretions diminishes. This can lead to a gurgling sound in the throat known as the death rattle.

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Correct Answer is C

Explanation

A. "I will take my medication even if symptoms improve." This statement indicates understanding of the importance of medication compliance in managing SLE, as symptoms may improve but the disease may still be active.

B. "I will not have my hair dyed or relaxed unless I am in a period of remission." This statement shows awareness of avoiding potential triggers for disease flare-ups during active periods of SLE.

C. "I will sunbathe as often as possible to ensure I get enough vitamin D." Sun exposure can trigger or worsen SLE symptoms, and individuals with SLE are often advised to avoid excessive sun exposure and to use sun protection to minimize flare-ups.

D. "I will report any fever to my healthcare provider immediately." This statement demonstrates understanding of the importance of monitoring for signs of infection or disease flare-ups, which can be common in SLE.

A. "After the surgery, I will have to be careful with heavy lifting for a few weeks." B. "I know that after the surgery, I will only have one testicle left." C. "I will have to take antibiotics as prescribed by my doctor to prevent infection." D. "I will need to avoid showering for a month after the surgery."

Correct Answer is D

Explanation

A. "After the surgery, I will have to be careful with heavy lifting for a few weeks": This statement demonstrates understanding of postoperative precautions, as heavy lifting can strain the surgical site and delay healing.

B. "I know that after the surgery, I will only have one testicle left": This statement indicates awareness of the surgical procedure and its potential outcomes, which is accurate.

C. "I will have to take antibiotics as prescribed by my doctor to prevent infection": This statement reflects understanding of the importance of antibiotic therapy to prevent postoperative infection, which is correct.

D. "I will need to avoid showering for a month after the surgery": This statement is incorrect.

Avoiding showering for a month after surgery is unnecessary and could lead to poor hygiene and potential complications such as infection. The client should be educated that showering is typically allowed after surgery, but they should avoid soaking the incision site in water until it has healed properly.

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A nurse is caring for a client who is receiving hospice care in the home. The family asks, "how will we know when death is near?" The nurse should inform the family that which of the following signs indicates that death is approaching? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client newly diagnosed with systemic lupus erythematosus (SLE). The nurse should recognize that which statement made by the client indicates the need for further teaching about the course and management of SLE?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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