The nurse is caring for a client who is in the dying process. The nurse is reviewing orders to confirm that all is being done to meet client needs. Which additional nursing intervention may be helpful?

A) Lay client in the supine position.
B) Apply glycerin products for moisture.
C) Reposition client every 2 hours.
D) Remove extra blankets and covers.


C
Feedback:
A drop in blood pressure and heart failure lead to poor tissue and organ perfusion. Repositioning the client every 2 hours protects the skin from breakdown. Typically, the client is at a semi-Fowler's position to assist with respiratory function. Glycerin products pull moisture from the tissue and accentuate the drying process. Extra covers are typically needed to ensure comfort.

Nursing

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The nurse is assessing a patient who has become rapidly and exceedingly anxious because her fingernail polish is chipped. If the patient has remained in a prolonged state of anxiety, the nurse concludes the patient is demonstrating:

a. signal anxiety. b. general anxiety. c. anxiety traits. d. panic disorder.

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A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse?

A) "What concerns you most about having surgery?" B) "Your surgeon has performed this surgery many times." C) "How does your family feel about this decision?" D) "This surgery can cure you of cancer."

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An older adult is seen in the emergency department after falling and sustaining substantial soft tissue bruising. The assessment interview notes a history of arthritic pain in several joints. The client is prescribed acetaminophen 650 mg four times per da

per day and Motrin 800 mg four times per day for control of the persistent arthritic pain. When providing discharge teaching, the nurse includes information regarding the signs and symptoms of: Select all that apply. a. gas-trointestinal bleeding b. renal impairment c. medi-cation interactions d. confu-sion e. in-creased anxiety

Nursing

A patient excitedly tells the nurse, "Look what I made in arts and crafts! I did a good job. I want to make some other things too." The nurse may conclude that which part of the patient's nervous system is responsible for processing this reaction?

a. Brainstem b. Occipital lobe c. Limbic system d. Corpus callosum

Nursing