Exam 24: Nutritional Care of the Terminally Ill

Which are appropriate nutritional assessment questions to ask a client who is dying and receiving tube feedings? Select all that apply.

A nurse is educating the family of a client about why it may be appropriate to withhold and minimize hydration in the dying client. Which statement made by the nurse is accurate?

Which of the following statements about the hospice philosophy are true? Select all that apply.

A nurse is caring for a client who is beginning to refuse food and drink. The client's wife is concerned. Which is an appropriate action for the nurse to take?

A nurse is caring for the client with dysphagia. Which intervention may the nurse take to prevent aspiration?

A nurse is caring for a client who is in the final days and hours of life who has stopped eating and drinking. Which of the following actions should the nurse take to reduce thirst sensations?

At what time is it appropriate for the health-care team to assess nutritional needs and status of a client?

A nurse is caring for a client who has been receiving parenteral nutrition through a feeding tube. The client is now approaching end-of-life, and is unable to verbalize their wishes. The family wants the feedings to stop immediately. Which approach should the nurse take?

Which of the following interventions can be implemented to decrease the thirst sensation that could occur under fluid restriction? Select all that apply.

An experienced hospice nurse is educating a nursing student on the changes in vital signs that occur during the later stages of the dying process. Which statement by the nurse is accurate?

A nurse is caring for a dying client who is still alert and able to make his or her own decisions. The client refuses any IV or parenteral fluids. The family members disagree, and ask the nurse to administer IV fluids. Which action by the nurse is most appropriate?

A person's ability to choose the way in which they want to live or die and their right to make those decisions on their own without outside influence is called:

Which is considered by many health-care workers to be the most useful indicator that the end of life is approaching?

A nurse is caring for a client who has begun to have terminal respiratory secretions. Which intervention is appropriate to help reduce these symptoms?

A hospice nurse is caring for a client who is experiencing dyspnea. Which nutritional interventions may be appropriate? Select all that apply.

A nurse is teaching a client's family about legal and ethical issues surrounding end-of-life care. Which statement made by the nurse is true?

A nurse is caring for a client who is experiencing constipation. Which of the following would the nurse expect to be eliminated from the client's nutritional care plan?

A nurse is caring for a dying client. The client's family has become alarmed because they have begun to hear a loud, hoarse, bubbling sound. Which explanation by the nurse is accurate?

A nurse is educating the client's family on palliative care. Which statement made by the nurse is accurate?

Ethical disagreements may occur between a health-care provider and a client's family during end-of-life care due to the provision of: