The client is in the final stage of dying. Which does the nurse implement?
1. Maintains a dark, cool room
2. Elevates the head of the bed
3. Catheterizes client frequently
4. Provides warm, soothing liquids
2
2. The nurse elevates the head of the bed as tolerated to facilitate breathing; in addi-tion, the client looks better slightly elevated in bed, which can be comforting to the family.
1. The nurse does not alter the temperature of the room.
3. Because urine production slows significantly as death approaches, urinary catheters are usually unnecessary.
4. Clients eat less and less as death approaches; simple items such as ice chips, a tea-spoon of tea, or an ice pop are usually sufficient.
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An autistic child is hospitalized with asthma. The nurse should plan care so that the:
a. parents' expectations are met. b. child's routine habits and preferences are maintained. c. child is supported through the autistic crisis. d. parents need not be at the hospital.
You have taught Jennifer, aged 15, about using a flow meter to assess how to manage her asthma exacerbations. She calls you today because her peak expiratory flow rate (PEFR) is 65%. What would you tell her?
a. "Take your short-acting beta-2 agonist, remain quiet, and call back tomorrow." b. "Use your rescue inhaler, begin the prescription of oral glucocorticoids you have, and call back tomorrow." c. "Drive to the emergency room (ER) now." d. "Call 911."
Ordered: 100 mL q2h of a 25 % solution for an irrigation
a. How many mL of the active ingredient will you prepare? b. What is the ratio of the active ingredient to the inactive ingredient?
The nurse is working with a patient on an inpatient hospice unit. To demonstrate caring and maintain the patient's sense of self-worth during the end of life, the nurse should:
A) leave the patient alone to deal with final affairs B) call upon the patient's spiritual advisor to take over care C) plan regular visits throughout the day D) have a grief counselor visit