End of Life Care

Which interventions should the nurse take for a deceased client whose eyes will be donated? Select all that apply. 1.Close the client's eyes. 2.Elevate the head of the bed. 3.Place a warm compress on the eyes. 4.Place a dry sterile dressing over the eyes. 5.Place wet saline gauze pads and a cool pack on the eyes.

1.Close the client's eyes. 2.Elevate the head of the bed. 5.Place wet saline gauze pads and a cool pack on the eyes.

The nurse recognizes that which interventions are likely to facilitate effective communication between a dying client and family? Select all that apply. 1.The nurse encourages the client and family to identify and discuss feelings openly. 2.The nurse assists the client and family in carrying out spiritually meaningful practices. 3.The nurse removes autonomy from the client to alleviate any unnecessary stress for the client. 4.The nurse makes decisions for the client and family to relieve them of unnecessary demands. 5.The nurse maintains a calm attitude and one of acceptance when the family or client expresses anger.

1.The nurse encourages the client and family to identify and discuss feelings openly. 2.The nurse assists the client and family in carrying out spiritually meaningful practices. 5.The nurse maintains a calm attitude and one of acceptance when the family or client expresses anger.

The community health nurse is providing an educational session to a group of community members regarding the issue of organ donation. A member of the group asks the nurse, "How old does someone have to be to provide consent for organ donation?" Which response should the nurse make? 1."Written consent is never required to become a donor." 2."A donor must be 18 years of age or older to provide consent." 3."A person can sign papers to become a donor at 16 years of age." 4."The family is responsible for decision making about organ donation at the time of death."

2."A donor must be 18 years of age or older to provide consent."

A client with terminal cancer arrives at the emergency department dead on arrival (DOA). After an autopsy is prescribed, the client's family requests that no autopsy be performed. Which response to the family is most appropriate? 1."The decision is made by the medical examiner." 2."An autopsy is mandatory for any client who is DOA." 3."I will contact the medical examiner regarding your request." 4."It is required by federal law. Tell me why you don't want the autopsy done."

3."I will contact the medical examiner regarding your request." Rationale:If an autopsy is not required by law, these oral or written requests will be granted. If no oral or written instructions were provided, state law determines who has the authority to consent for an autopsy.

The hospice nurse visits a client who is dying of ovarian cancer. During the visit, the client says, "If I can just live long enough to celebrate my daughter's sweet-16 birthday party, I'll be ready to die." The nurse notes that the client is experiencing which phase of coping? 1.Anger 2.Denial 3.Bargaining 4.Depression

3.Bargaining

The nurse is caring for a client with cancer. The client tells the nurse that a lawyer will be arriving today to prepare a living will and asks the nurse to act as one of the witnesses for the will. What is the most appropriate nursing action? 1.Agree to act as a witness. 2.Ask another nurse to serve as a witness. 3.Call the primary health care provider (PHCP). 4.Ask the client who might be available to serve as a witness.

4.Ask the client who might be available to serve as a witness. Living Will-It is witnessed and signed by 2 people who are unrelated to the client. Nurses or employees of a facility in which the client is receiving care and beneficiaries of the client must not serve as witnesses

A client who suffered a severe head injury has had vigorous treatment to control cerebral edema. Brain death has been determined. The nurse prepares to carry out which measure to maintain viability of the kidneys before organ donation? 1.Assessing lung sounds 2.Monitoring temperature 3.Administering intravenous (IV) fluids 4.Performing range-of-motion exercises to the extremities

3.Administering intravenous (IV) fluids

The nurse is caring for a client with terminal cancer who is close to death. On reviewing the plan of care, the nurse determines that which intervention is the priority? 1.Keep the client well sedated so that the client is totally unaware of what is happening. 2.Make sure the family has privacy and is kept informed of what is happening at all times. 3.Maintain the client's dignity and self-esteem, and make the client as comfortable as possible. 4.Carry out the primary health care provider's (PHCP's) prescriptions so that all prescribed treatments are done on time.

3.Maintain the client's dignity and self-esteem, and make the client as comfortable as possible.

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? Select all that apply 1.Discourage reminiscing. 2.Make the decisions for the family. 3.Encourage expression of feelings, concerns, and fears. 4.Explain everything that is happening to all family members. 5.Touch and hold the client's or family member's hand if appropriate. 6.Be honest and let the client and family know they will not be abandoned by the nurse.

3.Encourage expression of feelings, concerns, and fears. 5.Touch and hold the client's or family member's hand if appropriate. 6.Be honest and let the client and family know they will not be abandoned by the nurse.

The nurse is preparing a plan of care for a client who just delivered a dead fetus. Which initial action should the nurse include in the client's plan of care to meet the emotional needs of the client and spouse? 1.Allow family members to name the infant. 2.Encourage the client to talk about the dead fetus. 3.Allow the client and the spouse to hold the infant. 4.Assess the client's and the spouse's perception of the event.

4.Assess the client's and the spouse's perception of the event.