Exam 13: Palliative Care at the End of Life

The nurse is caring for a terminally ill client who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which of the following terms should the nurse use to document this finding?

The nurse has been caring for a terminally ill client for the past 10 months. The nurse and the family are present when the client dies and feels saddened and tearful as the family members begin to cry. Which of the following actions should the nurse takeatthis time?

The nurse is providing hospice care to a client who is manifesting a decrease in all body system functions except for a heart rate of 124 and a respiratory rate of 28. Which of the following is the basis for the nurses' response about these symptoms?

The spouse of a client with terminal lung cancer visits daily and cheerfully talks with the client about vacation plans for the next year. When the nurse asks about any concerns, the spouse says, "I'm busy at work, but otherwise things are fine." Which of thefollowing nursing diagnoses is appropriate?

The nurse is caring for a client with lung cancer as part of a home hospice palliative program. Which of the following interventions should the nurse implement?

Aclient who is very close to death is very restless and keeps repeating, "I am not ready to die." Which of the following actions should the nurse take?

The family member of a client who is dying tells the nurse, "Mother doesn't really respond any more when I visit. I don't think she knows that I am here." Which of the following responses by the nurse is most appropriate?

A client who is in the clinic for an immunization tells the nurse, "My mother died 4 months ago, and I just can't seem to get over it. I'm not sure it is normal to still think about her every day." Which of the following nursing diagnoses is most appropriate?

The nurse is caring for a client who has been diagnosed with metastatic cancer and plans a trip across the country "to settle some issues with my sisters and brothers." Which of the responses should the nurse recognize that the client is manifesting?

Which of the following clients is most appropriate for the nurse to refer to hospice palliative care?

The nurse is caring for a young adult who is dying after an automobile accident. The family members want to donate the client's organs and ask the nurse how the decision when death has occurred is made. Which of the following is the basis for the nurses'response to the family in this situation?

A terminally ill client is admitted to the hospital. Which of the following actions should the nurse include in the initial plan of care?

The nurse is caring for a client in a hospice palliative care program who is experiencing continuous, increasing amounts of pain. Which of the following time schedules should the nurse implement for the administration of opioid pain medications?

The nurse is planning for an end-of-life care discussion with a newly admitted client who is terminally ill and has decided to use the NURSE protocol during the difficult conversation to respond to client and/or family emotions. Which of the following terms describes the "E" in the NURSE protocol?

As the nurse admits a client with severe heart failure to the hospital, the client tells the nurse, "If my heart or breathing stop, I do not want to be resuscitated." Which of the following actions should the nurse take?