A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:
Get him out of bed for an hour in the morning and afternoon and for a short time (15 minutes) before bedtime so that he does not sleep all day and stay awake at night.
Get him out of bed for 2 hours in the morning and afternoon and for a short time (15 minutes) before bedtime so that he does not sleep all day and Stay awake at night.
Assess his strength and desire to get out of bed, but permit him to remain in bed if he chooses, because that is his position of comfort.
Leave him in bed if he wishes, but have him do active exercises of his legs and arms to prevent further muscle weakness.
The Correct Answer is C
A. and B. Both options involve getting the patient out of bed for specified periods during the day to prevent excessive sleep during the day and wakefulness at night. However, these options may not align with the patient's preferences and comfort.
C. This option respects the patient's autonomy and acknowledges his preference to remain in bed due to feeling tired and weak. It also recognizes that comfort is a priority in end-of-life care. The nurse will assess the patient's strength and desire to get out of bed but will permit him to remain in bed if he chooses, as that is his position of comfort.
D. Leaving the patient in bed while encouraging active exercises may be physically demanding for the patient and may not be appropriate, especially considering the patient's terminal condition and desire to remain in bed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This response acknowledges the potential comfort that can come from knowing that the tragedy may lead to saving other lives through organ donation. It emphasizes the positive impact that organ donation can have, which may provide some solace to the loved ones during a difficult time.
B. This response focuses on the logistical aspects of organ donation and may unnecessarily add stress to the situation by mentioning a delay in the funeral. It does not address the potential benefits of organ donation or provide emotional support to the loved ones.
C. This response provides inaccurate information about organ donation. Organ donation is not limited to just kidneys, and various organs and tissues can be donated depending on the circumstances and the donor's medical history. Additionally, this response does not address the emotional aspects of organ donation or provide reassurance to the loved ones.
D. This response mentions a small cost associated with organ donation, which may not be accurate as organ donation typically does not involve financial costs for the donor's family. Additionally, focusing on the cost detracts from the altruistic and compassionate nature of organ donation and may cause unnecessary concern for the loved ones.
Correct Answer is C
Explanation
A. Obituary: An obituary is a notice of a person's death, typically including a brief biography and details of the funeral arrangements. It is a written announcement or notice of someone's passing, usually published in newspapers or online. Obituaries do not involve the examination of body organs and tissues after death; rather, they serve as a tribute to the deceased.
B. Postmortem care: Postmortem care refers to the care provided to the body of a deceased person, including cleaning, preparing for viewing, and ensuring dignity in handling. It involves activities such as bathing, dressing, and positioning the body. Postmortem care does not involve the examination of body organs and tissues for diagnostic or investigative purposes.
C. Autopsy: An autopsy is the examination of a body after death to determine the cause of death or to study the extent and nature of disease processes. It involves a thorough examination of body organs and tissues, often including dissection and analysis under a microscope. Autopsies are performed by pathologists and are typically ordered by medical examiners, coroners, or physicians to gather information about the circumstances surrounding a person's death.
D. Transplant: Transplantation involves the surgical removal of an organ or tissue from one person (the donor) and its transfer to another person (the recipient) to replace a damaged or failing organ. Transplants are performed while the donor is alive (living donor) or after death (deceased donor). However, the examination of body organs and tissues after death is not specifically related to the transplant process.
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