The family of an older patient dying of liver cancer is concerned that the patient will not eat or drink. The patient is alert and oriented, and expresses no desire to eat. What action would the nurse take?
1. Force fluids.
2. Consult the dietician for feeding supplements.
3. Contact the physician for an order for tube feedings.
4. Comply with the patient's wishes despite the family's concern.
4
Rationale: The patient's wishes should be respected. The nurse should educate the family and reassure them that anorexia may result in ketosis that can lead to a peaceful state of mind and decreased pain.
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