The nurse prepares the client with a terminal illness for a ...

[ENagel]

The nurse prepares the client with a terminal illness for a complete bath when the spouse suddenly arrives. The nurse will:
 
  1. Begin bathing the client and ask the spouse to wait by the nurse's desk.
  2. Ask the spouse to bathe the client so the nurse can care for another client.
  3. Involve the spouse to the degree desired in bathing the client.
  4. Instruct the spouse to sit in the chair at the client's bedside until the bath is completed.

Question 2

Prior to assisting the client with personal hygiene, the nurse checks the nursing history for risk factors for self-care deficit, such as: Standard Text: Select all that apply.
 
  1. Visual impairment.
  2. Activity intolerance.
  3. Pain.
  4. Auditory impairment.
  5. Medically prescribed restriction.

[juiceman1987]

Answer to Question 1

3
Rationale: The nurse should offer to involve the spouse if they desire to be involved. If the spouse declines, the nurse would continue the bath. The spouse should not be forced to assist if she doesn't wish to.

Answer to Question 2

1,2,3,5
Rationale: A client with a visual impairment might not be able to collect the equipment necessary to complete personal hygiene tasks.

[ENagel]

Gracias!

[LVPMS]

Thanks for the timely response, appreciate it