pn NCLEX end of life care

the nurse is creating a care plan for a client with a terminal illness. Which nursing action should be included

respond to request from the client and family promptly support the client's decision making in order to promote client control provide information about what is expected during the dying process to the client and family

the nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques should the nurse use when communicating with the family

encourage expression of feelings, concerns, and fears touch and hold the client's or family members hand if appropriate be honest and let the client and family know that they will not be abandoned by the nurse

hey client's spouse becomes distraught when thinking about his wife's grave prognosis. Which action should the nurse Implement to promote hope for the spouse

encourage formation of achievable goals

a client who was struck by car while jogging is brought to the emergency department by the ambulance team. The client is unconscious, and a ruptured spleen is suspected. Emergency measures are instituted but are unsuccessful. The client's fiance is with the client tells the nurse that the client is an organ donor. In anticipation of the client's eyes will be donated, which should the nurse implement

close the deceased client eyes and place a small ice pack on the client's eyes

the nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques should the nurse use when communicating with the family

encourage expression of feelings, concerns, and fears extend touch and hold the client's or family members hand if appropriate be honest and truthful, with the client and family know that you will not abandon them

a client has a terminal illness, and her spouse is distraught about the unrelenting pain she experiences. What should the nurse Implement as the most effective measure to alleviate the spouses distress

engaged to spouse and providing comfort

839 year old man learn today that his 36 year old wife has an incurable cancer and is expected to live not more than a few weeks. The nurse identifies which response by the husband as indicate of of effective individual coping

he expresses his anger at God and the healthcare providers for allowing this to happen

the nurse is caring for a client at the end of life. What lake cardiovascular and respiratory findings should the nurse expect to note while collecting data

irregular heart rate decrease pulse rate decrease blood pressure irregular breathing patterns

the nurse is caring for a client with terminal cancer who is close to death. in reviewing the plan of care, the nurse determines that which action is a priority

maintain the client's dignity and self-esteem, and make the client as comfortable as possible

the nurse is caring for a client at end of life. The client is withdrawn and agitated and is experiencing visual hallucinations. Which action should the nurse take to provide end-of-life psychological care

provide privacy to the Client family encourage the family to talk and reassure the client encourage visits by appropriate spiritual Services as desired

a client has died, the nurse to ask a family member about the funeral arrangements. The family member refuses to discuss the issue. Which is the appropriate nursing action

remain with the family member without discussing funeral arrangements

irregular, noisy breathing and cold clammy skin

the nurse is caring for an older client who is terminally ill. Which size indicate to the nurse that death may be imminent

the nurse recognizes that which interventions is unlikely to facilitate effective communication between a dying client and the family

the nurse makes decisions for the client and family in order to relieve them of unnecessary demands

the nurse is caring for a client who has just died. Which end of life information needs to be documented in the client's medical record

time and date of death time of body transfer in destination name of health care provider certifying death medical tubes, devices, or lines left in the body

the nurse is caring for a client at the end of life. Which skin changes would the nurse expect to note

wax like texture mulching of arms, legs, hands, and feet cyanosis of the nose, nail beds, and knees

the nurse is caring for a client at the end of life. Which gastrointestinal findings indicate that death is approaching

nausea incontinence accumulation of gas abdominal distension

a client and her husband are being discharged from the hospital after delivering a stillborn infant. They asked about the possibility of attending a bereavement support group in the community. Which response should this request indicate to the nurse

normal grieving

the nurse is caring for a eight-year-old client in the late stage of terminal illness. The client is semi-conscious. The nurse notices that the client has a dry mouth and the family believes that they child is thirsty. The family is attempting to give the child a large glass of apple juice. Which action should the nurse take

perform frequent Oral Care with mouth swabs encourage the family to participate in oral care as desired give the child small sips of water or ice chips if alert and request by the child

a licensed practical nurse is providing instructions to a UAP who is preparing to care for a deceased client whose eyes will be donated. The nurse intervenes if the UAP performs which action

places a dry sterile dressing over the open eyes