The family of a dying client expresses concern because the client is eating very little. The family suggests that the nurse ask the physician to order tube feedings. The best response by the nurse is:
1. "I will call the doctor immediately."
2. "It might be necessary for you to force-feed the client."
3. "Tube feedings will help prolong the client's life."
4. "Not eating can actually decrease the client's pain."
Answer: 4
1. If the family persists, the nurse can notify the physician, but the physician will not likely order tube feedings when the client is near death.
2. The nurse will explain the reason for the decreased appetite, and would not advise force-feeding.
3. Tube feedings will not prevent death or prolong life.
4. Not eating produces the breakdown of fats that causes ketosis and a sense of well-being in the client, which helps to decrease pain.
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