In developing an end-of-life plan of care for the client, the ...

[CBme]

In developing an end-of-life plan of care for the client, the nurse should identify which hygiene goal as appropriate?
 
  1. Provide hourly sponge baths for end-of-life comfort.
  2. Involve the client in 30 of her bath daily.
  3. Maintain clean skin by providing daily whirlpool baths.
  4. Involve the family in hygiene care daily to maintain clean, dry skin.

Question 2

The nurse can best provide sensory stimulation for a dying client who is unconscious by:
 
  1. Having the television tuned to favorite programs.
  2. Leaving the radio on at all times.
  3. Leaving her door open at all times.
  4. Encouraging the family to talk with the client.

[micaelaswann]

Answer to Question 1

Answer: 4

1. Hourly sponge baths are not necessary.
2. There is no way to measure if the client is able to participate in 30 of the bath.
3. Daily whirlpool baths are not necessary.
4. Involving the family gives them the opportunity to say good-bye and prepares them for the grieving process.

Answer to Question 2

Answer: 4

1. Although TV provides sensory stimulation, voices familiar to the client provide emotional and sensory stimuli.
2. Although radio provides sensory stimulation, voices familiar to the client provide emotional and sensory stimuli.
3. Keeping the door open does not necessarily provide sensory stimulation.
4. It is believed that hearing is the last sense a dying person loses. Voices familiar to the client provide emotional and sensory stimuli.

[CBme]

Excellent

[parshano]

Gracias!