The nurse is being trained in hospice care. Which intervention by the nurse is most compatible with the goals of end-of-life care for the client?

a. Administer influenza and pneumococcal vaccinations.
b. Prevent the client with chronic obstructive pulmonary disease from smoking.
c. Perform passive range-of-motion exercises to prevent contractures.
d. Permit the client with diabetes mellitus to have a serving of ice cream.


D
When a client is near the end of life, nursing interventions should be focused toward facilitating peaceful death by granting the client's wishes and identifying his or her needs. Allowing a client who wishes to have something that is not permitted in the diet can be comforting if he or she has a craving or a desire for that food. There is no reason to withhold it at this time.

Nursing

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You have been chosen to do a department inservice on pressure ulcers for the medical unit you work on

a. Discuss the four stages of pressure ulcers. b. How can they be prevented? c. What are the risks for developing pressure ulcers?

Nursing

The nurse notes that a client's uterus, which was firm after the fundal massage, has become boggy. Which intervention would the nurse perform next?

A) Perform vigorous fundal massage B) Check for bladder distention while encouraging the client to void C) Use semi-Fowler's position to encourage uterine drainage D) Offer analgesics prescribed by the primary care provider

Nursing

Which of the following actions is consistent with a nurse leader?

a. A nurse who encourages staff to give ex-cellent patient care b. A nurse who performs chart audits on her staff c. A nurse who writes yearly staff evalua-tions d. A nurse who gives pain medication to an assigned patient

Nursing

The nurse is working in an obstetrical clinic in an urban setting

The nurse knows that there are certain facts that affect the health care of this group of women, including: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Women who receive adequate prenatal care are less likely to develop preterm labor. 2. Women who do not receive prenatal care are more likely to have low-birth-weight babies. 3. A lack of prenatal care is a risk for infant morbidity and mortality. 4. Women who do not receive prenatal care are at a greater risk for various illnesses. 5. Women who do not receive prenatal care are more likely to have high-birth-weight babies.

Nursing