A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

Do not force the client to stay awake

Administer pain medication by rectal or transdermal when client can no longer swallow

Position the client on her side

Offer to turn and reposition client every 2 hours

Answer and Explanation

Correct Answer : A,B,C,D

A. Do not force the client to stay awake: Palliative care focuses on providing comfort and dignity to the patient, and forcing the client to stay awake would not align with this goal. Allowing the client to rest as needed is essential for maintaining comfort during the end-of-life process.

B. Administer pain medication by rectal or transdermal when client can no longer swallow: As the client approaches death, they may lose the ability to swallow oral medications. Administering pain medication rectally or via transdermal patches ensures that the client continues to receive adequate pain relief even when oral intake is no longer possible.

C. Position the client on her side: Positioning the client on her side helps prevent aspiration if there is vomiting and promotes comfort by reducing pressure on bony prominences. This position also facilitates effective airway management and can help alleviate respiratory distress.

D. Offer to turn and reposition client every 2 hours: Turning and repositioning can help prevent pressure ulcers and maintain skin integrity, during the terminal stage of illness. The frequency of turning and repositioning may be adjusted based on the client's comfort and clinical condition.

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Correct Answer is A

Explanation

A. Spirituality can increase the quality of life: Spirituality plays a significant role in end-of-life care and can positively impact a client's well-being. Engaging in spiritual practices, finding meaning and purpose, and connecting with one's beliefs or faith can enhance the overall quality of life for individuals facing the end of life. Research has shown that spiritual beliefs and practices can provide comfort, hope, and a sense of peace, contributing to a higher quality of life during this challenging time.

B. Spirituality can increase feelings of hopelessness: While spirituality generally fosters feelings of hope and comfort, it is possible for individuals to experience spiritual distress or questioning that may temporarily increase feelings of hopelessness. However, this is not the typical outcome of spiritual engagement for most individuals near the end of life.

C. Spirituality can increase depression: Engaging in spirituality and connecting with one's beliefs or faith often serves as a source of solace and support, which can help alleviate symptoms of depression. While spiritual struggles or existential questions may arise, spirituality is more commonly associated with reducing depressive symptoms rather than increasing them.

D. Spirituality can increase the desire to hasten death: Spirituality often provides individuals with a sense of meaning, purpose, and hope, which can serve as protective factors against the desire to hasten death. While spiritual distress or questioning may occur, it is not typically associated with an increased desire to hasten death.

A. "l can now eat whatever I want. It will be dialyzed out of my system." B. "l know that renal failure runs in my family and I can prevent it." C. "l just can't believe that my whole life is going to be ruined by dialysis." D. "l know that I will get a kidney transplant. I am a good candidate."

Correct Answer is C

Explanation

A. "I can now eat whatever I want. It will be dialyzed out of my system.": This statement reflects a lack of understanding about the dietary restrictions and lifestyle changes necessary with chronic renal failure rather than anticipatory grief.

B. "I know that renal failure runs in my family and I can prevent it.": This statement suggests a focus on prevention and may not indicate anticipatory grief. It reflects the client's awareness of their family history and their belief in their ability to take preventive measures.

C. "I just can't believe that my whole life is going to be ruined by dialysis.": This statement expresses a sense of disbelief and distress about the impact of dialysis on the client's life. It suggests that the client is already grieving the perceived loss of their previous way of life, indicating anticipatory grief.

D. "I know that I will get a kidney transplant. I am a good candidate.": This statement reflects hope and optimism about the possibility of a kidney transplant, which may not align with anticipatory grief. It indicates the client's understanding of treatment options and a positive outlook for the future.

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A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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