Difficulty: Medium
Average Score: 91%
Simulated
A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)
Correct answer
A,B,C,D
Rationale
Correct Answer: A, B, C, D
Rationale:
A: The nurse should not force the client to stay awake as it can lead to increased discomfort and distress.
B: Administering pain medication rectally or transdermally when the client can no longer swallow ensures comfort and pain management.
C: Positioning the client on her side helps prevent aspiration and promotes comfort during the dying process.
D: Turning and repositioning the client every 2 hours prevents pressure ulcers and ensures skin integrity.
Summary of Incorrect Choices:
E: There is no option E provided, so there is no rationale for this choice being incorrect.
F: There is no option F provided, so there is no rationale for this choice being incorrect.
G: There is no option G provided, so there is no rationale for this choice being incorrect.
Rationale:
A: The nurse should not force the client to stay awake as it can lead to increased discomfort and distress.
B: Administering pain medication rectally or transdermally when the client can no longer swallow ensures comfort and pain management.
C: Positioning the client on her side helps prevent aspiration and promotes comfort during the dying process.
D: Turning and repositioning the client every 2 hours prevents pressure ulcers and ensures skin integrity.
Summary of Incorrect Choices:
E: There is no option E provided, so there is no rationale for this choice being incorrect.
F: There is no option F provided, so there is no rationale for this choice being incorrect.
G: There is no option G provided, so there is no rationale for this choice being incorrect.