Question : As the nurse admits a client with severe heart failure to the hospital, : 2135500
6. As the nurse admits a client with severe heart failure to the hospital, the client tells the nurse, “If my heart or breathing stop, I do not want to be resuscitated.” Which of the following actions should the nurse take?
a. Ask if these wishes have been discussed with the health care provider.
b. Place a “do not resuscitate” (DNR) notation in the client’s care plan.
c. Inform the client that a notarized advance directive must be included in the record or resuscitation must be performed.
d. Advise the client to designate a person to make health care decisions when the client is not able to make them independently.
7. A client who is very close to death is very restless and keeps repeating, “I am not ready to die.” Which of the following actions should the nurse take?
a. Remind the client that no one feels ready for death.
b. Sit at the bedside and ask if there is anything the client needs.
c. Insist that family members remain at the bedside with the client.
d. Tell the client that everything possible is being done to delay death.
8. The nurse is caring for a client in a hospice palliative care program who is experiencing continuous, increasing amounts of pain. Which of the following time schedules should the nurse implement for the administration of opioid pain medications?
a. Around-the-clock routine administration of analgesics
b. PRN doses of medication whenever the client requests
c. Enough pain medication to keep the client sedated and unaware of stimuli
d. Analgesic doses that provide pain control without decreasing respiratory rate
9. The nurse is caring for a client with lung cancer as part of a home hospice palliative program. Which of the following interventions should the nurse implement?
a. Discuss cancer risk factors and appropriate lifestyle modifications.
b. Encourage the client to discuss past life events and their meaning.
c. Accomplish a thorough head-to-toe assessment once a week.
d. Educate the client about the purpose of chemotherapy and radiation.
10. The nurse has been caring for a terminally ill client for the past 10 months. The nurse and the family are present when the client dies and feels saddened and tearful as the family members begin to cry. Which of the following actions should the nurse take at this time?
a. Contact a grief counsellor as soon as possible.
b. Cry along with the client’s family members.
c. Leave the home as quickly as possible to allow the family to grieve privately.
d. Consider whether working in hospice is desirable since client losses are common.