End-of-Life Care (Concepts for Interprofessional Collaborative Care College Test Bank)

End-of-Life Care (Concepts for Interprofessional Collaborative Care College Test Bank)
Chapter 07: End-of-Life Care
MULTIPLE CHOICE
1. A nurse cares for a dying client. Which manifestation of dying should the nurse treat first?
a. Anorexia
b. Pain
c. Nausea
d. Hair loss
ANS: B
Only symptoms that cause distress for a dying client should be treated. Such symptoms include pain, nausea
and vomiting, dyspnea, and agitation. These problems interfere with the clients comfort. Even when
symptoms, such as anorexia or hair loss, disturb the family, they should be treated only if the client is
distressed by their presence. The nurse should treat the clients pain first.
2. A nurse plans care for a client who is nearing end of life. Which question should the nurse ask when
developing this clients plan of care?
a. Is your advance directive up to date and notarized?
b. Do you want to be at home at the end of your life?
c. Would you like a physical therapist to assist you with range-of-motion activities?
d. Have your children discussed resuscitation with your health care provider?
ANS: B
When developing a plan of care for a dying c l
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die. Advance directives do not need to be notarized. A physical therapist would not be involved in end-of-life
care. The client should discuss resuscitation with the health care provider and children; do-not-resuscitate
status should be the clients decision, not the familys decision.
3. A nurse is caring for a client who has lung cancer and is dying. Which prescription should the nurse
question?
a. Morphine 10 mg sublingual every 6 hours PRN for pain level greater than 5
b. Albuterol (Proventil) metered dose inhaler every 4 hours PRN for wheezes
c. Atropine solution 1% sublingual every 4 hours PRN for excessive oral secretions
d. Sodium biphosphate (Fleet) enema once a day PRN for impacted stool
ANS: A
Pain medications should be scheduled around the clock to maintain comfort and prevent reoccurrence of pain.
The other medications are appropriate for this client.
4. A client tells the nurse that, even though it has been 4 months since her sisters death, she frequently finds
herself crying uncontrollably. How should the nurse respond?
a. Most people move on within a few months. You should see a grief counselor.
b. Whenever you start to cry, distract yourself from thoughts of your sister.

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