Question 1

The nurse is caring for a client who has just died.When performing postmortem care,which nursing actions are appropriate for this client?

Accepted Answer

A) Positing the client in a supine position 
B) Placing the client's arms crossed over the chest 
C) Closing the client's eyes 
D) Inserting the client's dentures in the mouth 
E) Pulling the top linens to the client's shoulder. 
A) Positing the client in a supine position 
B) Placing the client's arms crossed over the chest 
C) Closing the client's eyes 
D) Inserting the client's dentures in the mouth 
E) Pulling the top linens to the client's shoulder. A,C,D,E

Question 2

The client is maintained on mechanical ventilation,but is found to have irreversible destruction of the cerebral cortex.When documenting this client's condition,which term will the nurse use?

Accepted Answer

A) Heart-lung death 
B) Higher brain death 
C) A persistent vegetative state 
D) Death 
A) Heart-lung death 
B) Higher brain death 
C) A persistent vegetative state 
D) Death B

Question 3

The nurse is caring for a client diagnosed with a terminal illness and experiencing a great deal of pain.After administration of IV analgesia,the client continues to complain of severe pain.Which action by the nurse is the most appropriate in this situation?

Accepted Answer

A) Explain to the client the need to wait for further medication to prevent overdosage complications. 
B) Ask the family to help divert the client from the discomfort. 
C) Call the health care provider,if necessary,to request an order for additional analgesia. 
D) Wait an hour for the medication to take effect. 
A) Explain to the client the need to wait for further medication to prevent overdosage complications. 
B) Ask the family to help divert the client from the discomfort. 
C) Call the health care provider,if necessary,to request an order for additional analgesia. 
D) Wait an hour for the medication to take effect. C

Question 4

The nurse is providing care to a client who is diagnosed with a terminal illness.When meeting the physiological needs of this dying client,which items will the nurse include in the assessment process?

Accepted Answer

A) Determine if the client has advance directives. 
B) Determine if the client is experiencing any physiological signs of impending death. 
C) Ask questions to determine ways to support the client and family. 
D) Ask the family if they want to view the body after death. 
E) Provide adequate pain control. 
A) Determine if the client has advance directives. 
B) Determine if the client is experiencing any physiological signs of impending death. 
C) Ask questions to determine ways to support the client and family. 
D) Ask the family if they want to view the body after death. 
E) Provide adequate pain control.

Question 5

Which is not the nurse's role when working with families of dying clients?

Accepted Answer

A) Providing financial support 
B) Providing emotional support 
C) Assisting with connecting families with available resources 
D) Assessing families' coping and grieving process 
A) Providing financial support 
B) Providing emotional support 
C) Assisting with connecting families with available resources 
D) Assessing families' coping and grieving process

Question 6

When delegating postmortem care to unlicensed assistive personnel (UAP),it is essential that the nurse inform the UAP of which piece of information?

Accepted Answer

A) The tubes or other medical devices to be left in place 
B) The disposition of the body after postmortem care is completed 
C) The method to contact the family 
D) The information to be documented in the medical record 
A) The tubes or other medical devices to be left in place 
B) The disposition of the body after postmortem care is completed 
C) The method to contact the family 
D) The information to be documented in the medical record

Question 7

The nurse is providing postmortem care,and elevates the client's head in order to avoid discoloration of the face secondary to which process?

Accepted Answer

A) Rigor mortis 
B) Livor mortis 
C) Algor mortis 
D) Post mortis 
A) Rigor mortis 
B) Livor mortis 
C) Algor mortis 
D) Post mortis

Question 8

Immediately after a client dies,who is the nurse responsible for notifying?

Accepted Answer

A) Family 
B) Primary care provider 
C) Funeral home 
D) Coroner,if indicated 
A) Family 
B) Primary care provider 
C) Funeral home 
D) Coroner,if indicated

Question 9

The nurse is providing care for a client with terminal breast cancer.The client's children ask if their mother will exhibit any signs and symptoms prior to death.When responding to the family,which statements regarding the expected clinical manifestations of impending death will the nurse include?

Accepted Answer

A) "Your mother's jaw may sag." 
B) "Your mother may have difficulty speaking." 
C) "Your mother may have trouble swallowing." 
D) "Your mother may feel hot to the touch." 
E) "Your mother may begin to breathe only through her nose." 
A) "Your mother's jaw may sag." 
B) "Your mother may have difficulty speaking." 
C) "Your mother may have trouble swallowing." 
D) "Your mother may feel hot to the touch." 
E) "Your mother may begin to breathe only through her nose."

Question 10

The nurse recognizes the client's death is impending when which assessment finding is noted?

Accepted Answer

A) Extremities appear mottled and cyanotic 
B) Client requests a meeting with spiritual counselor 
C) Heart rate and blood pressure increases 
D) Increased appetite 
A) Extremities appear mottled and cyanotic 
B) Client requests a meeting with spiritual counselor 
C) Heart rate and blood pressure increases 
D) Increased appetite

Exam 34: End-Of-Life Care

The nurse is caring for a client who has just died.When performing postmortem care,which nursing actions are appropriate for this client?

The client is maintained on mechanical ventilation,but is found to have irreversible destruction of the cerebral cortex.When documenting this client's condition,which term will the nurse use?

The nurse is caring for a client diagnosed with a terminal illness and experiencing a great deal of pain.After administration of IV analgesia,the client continues to complain of severe pain.Which action by the nurse is the most appropriate in this situation?

The nurse is providing care to a client who is diagnosed with a terminal illness.When meeting the physiological needs of this dying client,which items will the nurse include in the assessment process?

Which is not the nurse's role when working with families of dying clients?

When delegating postmortem care to unlicensed assistive personnel (UAP),it is essential that the nurse inform the UAP of which piece of information?

The nurse is providing postmortem care,and elevates the client's head in order to avoid discoloration of the face secondary to which process?

Immediately after a client dies,who is the nurse responsible for notifying?

The nurse is providing care for a client with terminal breast cancer.The client's children ask if their mother will exhibit any signs and symptoms prior to death.When responding to the family,which statements regarding the expected clinical manifestations of impending death will the nurse include?

The nurse recognizes the client's death is impending when which assessment finding is noted?

Foundational Skills

Vital Signs

Health Assessment

Diagnostic Testing

Client Hygiene

Bed-Making

Infection Control

Heat and Cold Therapy

Pain Management

Positioning the Client

Mobilizing the Client

Fall Prevention and Restraints

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Assisting With Mechanical Ventilation

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Ulcer Care

Orthopedic Care

Performing Perioperative Care

Filters