A nurse is planning care for a client who has terminal cancer and is nearing the end of life. Which of the following interventions should the nurse include?
Place the client in a supine position.
Remind the client to eat scheduled meals daily.
Speak in a loud tone when addressing the client.
Offer the client a blanket to keep warm.
The Correct Answer is D
Rationale:
A. Place the client in a supine position: The supine position may impair respiratory function and increase discomfort, especially in terminal clients who may experience dyspnea. A semi-Fowler’s or side-lying position is often preferred for comfort and easier breathing.
B. Remind the client to eat scheduled meals daily: For clients nearing end of life, appetite naturally decreases, and forcing meals can cause distress. Care should focus on comfort, allowing the client to eat only if and when they desire rather than adhering to structured meal times.
C. Speak in a loud tone when addressing the client: Loud speech is not appropriate unless the client has documented hearing impairment. A calm, soft tone is more comforting and respectful, especially in the emotionally sensitive context of end-of-life care.
D. Offer the client a blanket to keep warm: Clients nearing the end of life often experience poor circulation and may feel cold. Providing a blanket is a comfort-focused, non-invasive intervention that promotes warmth and dignity during this phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Action: The action stage involves actively implementing strategies to change behavior. Since the group is already in the process of reducing pesticide use, they are taking concrete steps toward achieving their goal, which defines the action phase.
B. Maintenance: Maintenance occurs after a behavior has been successfully adopted and sustained over time. The group has not yet reached this phase, as they are still actively working on the change rather than maintaining it.
C. Contemplation: Contemplation is the stage where individuals or groups are considering a change but have not yet committed to or started the process. The group’s involvement in reducing pesticide use suggests they have moved beyond this phase.
D. Preparation: Preparation includes making plans and gathering resources to initiate change. While the group may have gone through this stage, the current activity of reducing pesticide use indicates they have progressed to the action stage.
Correct Answer is D
Explanation
Rationale:
A. Ham sandwich with milk: Ham is pork, which is strictly prohibited under kosher dietary laws. Additionally, meat and dairy cannot be consumed together in a kosher meal, making this choice doubly inappropriate for someone following kosher rules.
B. Shrimp salad and tomato soup with milk: Shellfish, including shrimp, are non-kosher because they lack fins and scales. Combining shrimp (non-kosher seafood) with dairy also violates kosher dietary principles, making this an unsuitable option.
C. Bacon and cheese quiche with milk: Bacon is pork and non-kosher, and mixing it with cheese violates the rule against combining meat and dairy. Even if the bacon were turkey-based, kosher observance would still require strict supervision and certification.
D. Scrambled eggs and toast with milk: Eggs, bread, and milk are all permissible under kosher law if prepared in accordance with kosher standards. This option avoids mixing meat and dairy and excludes non-kosher animals, making it suitable for a kosher diet.
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