Exam 24: Nutritional Care of the Terminally Ill

Ms. N is a hospice client who has had insulin-dependent diabetes mellitus (type 1 diabetes) for many years. The visiting nurse instructs the caregiver to feed Ms. N 30 to 50 g of carbohydrate every 3 hours:

Ms. O is a hospice client suffering from daily nausea and vomiting. Which of the following should be corrected to help alleviate the nausea and vomiting?

Ms. L is actively dying and has refused oral intake. Her caregiver is concerned. Which of the following responses would be the most helpful to the caregiver?

The nurse is working with a client experiencing migraine headaches. When discussing possible triggers, which of the following would the nurse be least likely to include?

A client is complaining of pruritus. The nurse interprets this as which of the following?

A client has dyspnea and has read that caffeine helps break up and expel secretions. The client asks you for a recommendation. An appropriate response would be which of the following?

Which of the following would be considered a suitable range for blood glucose in the hospice population?

Ms. L has an abdominal cancer that is causing a partial bowel obstruction. She is able to take oral nourishment and has refused a feeding tube. Which of the following would be least appropriate to give?

Many foods taste bitter to a client. Which of the following suggestions would be expected to help alleviate this problem?

Which of the following would be most appropriate to suggest to a client with hiccups?

Which of the following roles is most important in the care of a terminally ill client?

The goal of palliative nutritional care for the terminally ill client is to do which of the following?

A client is terminally ill when he or she has an irreversible lethal disease and death is expected within which time frame?

Mr. W, a hospice client, wishes to treat his anemia so he will not feel so fatigued. Which of the following would be least appropriate to suggest?

An assessment question about fat in the diet of a terminally ill client is appropriate if the client has complained about:

Ms. N is a hospice client who has had insulin-dependent diabetes mellitus (type 1 diabetes) for many years. The visiting nurse asks the client and caregiver to relate the client's history of clinical signs and symptoms of hypoglycemia. The nurse is concerned because of which of the following reasons?

Ms. D has been under the care of hospice for 4 months. For the past few days she has taken only one-fourth of her usual food. Her caregiver is greatly concerned. What advice would be least appropriate?

After teaching a group of nurses about the signs of approaching death, the instructor determines that additional teaching is needed when the group identifies which of the following as a sign?

The goal of nutrition screening for the client under hospice care is which of the following?

In some states, a charge of ______ can be brought if a client is fed artificially against his or her wishes.