What should the nurse caring for a dying patient understand about the patient? (Select all that apply.)
a. The patient has the right to be in control.
b. The patient must be compliant with his medical regimen.
c. The patient should expect to be free from pain.
d. The patient should be lied to so as to maintain his sense of hope.
e. The patient has the right to die in peace and dignity.
A, C, E
The Dying Person's Bill of Rights states that the patient has the right to be treated as a living human being until he dies, be in control, express his feelings and emotions about his approaching death in his own way, be free from pain, have his questions answered honestly and not be de-ceived, and die in peace and dignity.
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After 2 days of administering the client's continuous nasogastric tube (NGT) feeding at 35 ml/hr successfully, the nurse aspirates 150 ml of formula. Which should the nurse implement first?
1. Discard aspirate and continue with the feeding. 2. Flush tube with 30 ml of normal saline solution. 3. Return aspirate and re-evaluate client in 1 hour. 4. Collaborate about the aspirate with the provider.
A father asks the nurse why his 18-year-old daughter is so idealistic and is so often involved in political or social causes
The father is especially concerned because his daughter recently turned down a family outing to an amusement park in order to attend a rally to benefit indigenous people in a third-world country. Of the following, which response by the nurse would be best? a. "When children do not have enough limits set at home, they often fall in with peer groups who engage in these activities." b. "She has obvious talent for politics, and this may be something she will want to do as her life's fork." c. "This is your daughter's way of being different from you and exerting independence from her family." d. "This is a normal phase that adolescents go through. They interpret the world in an excessively idealistic perspective and often engage in causes."
How would you position a child for rectal drug administration?
a. Lying in the lateral recumbent position with legs flexed b. Lying on the back with knees flexed c. Lying prone d. Lying supine
The nurse is comparing pitch and duration of the various types of a patient's breath sounds and recognizes which one of these as an expected finding?
a. Bronchial sounds are low-pitched and have a 2:1 inspiratory-versus-expiratory ratio. b. Bronchovesicular sounds have a moderate pitch and 1:1 expiratory-versus-inspiratory ratio. c. Vesicular breath sounds are high-pitched and have a 1:2 inspiratory-versus-expiratory ratio. d. Wheezes are low-pitched and have a 2.5:1 inspiratory-versus-expiratory ratio.