The nurse is discussing the use of artificial nutrition with the family of a client who is unable to take oral nutrition and is approaching end-of-life. Which of the statements would be appropriate for the nurse to include in the discussion about the use of artificial nutrition in dying clients?
It has limited if any impact on the client's comfort level.
It can lower the incidence of infection when a client is bedridden.
It can improve the client's metabolism and blood circulation.
It can alleviate hunger that clients have when unable to have any oral feedings.
The Correct Answer is A
A. Artificial nutrition often has limited impact on comfort at the end of life and may not contribute to the client's overall well-being. It is generally focused on sustaining life rather than improving comfort.
B. Artificial nutrition does not significantly lower the incidence of infection in bedridden clients. Proper infection control practices are more relevant in preventing infections.
C. Artificial nutrition is unlikely to significantly improve metabolism or blood circulation in dying clients, as the focus is typically on managing symptoms and comfort.
D. Alleviating hunger is not usually a primary goal of artificial nutrition in end-of-life care. The primary focus is often on comfort rather than addressing hunger.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.
Correct Answer is D
Explanation
A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.
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