Correct Answer: 1,2,3,5 Initiating intravenous fluids for ...

[bobbie]

Correct Answer: 1,2,3,5 Initiating intravenous fluids for hydration purposes in the dying patient may increase fluid in the lungs, peripheral edema, ascites, and vomiting. The patient is much less likely to lose weight at this time.
 
  Select all that apply.
  1. We have already notified our priest about Dad's condition.
  2. When the time of death gets closer, we would like him transferred to the inpatient hospice unit at the hospital.
  3. My sister is pregnant, so she really can't help with his care.
  4. My family members will be here at the house a lot right now.
  5. We don't want to worry him, so if there is any change in his condition, please talk to me about it.

Question 2

The sibling of a patient who is nearing death has insisted on intravenous fluids because My brother wants to live. Which findings should the nurse expect when assessing this patient?
 
  Select all that apply.
  1. The nurse notes the presence of inspiratory and expiratory crackles in all lung fields.
  2. The nurse notes that there is increasing edema in the patient's ankles and feet bilaterally.
  3. The patient has developed ascites.
  4. The patient has lost 6 pounds from last week.
  5. The nurse learns during shift report that the patient vomited three times during the night shift.

[kjo;oj]

Answer to Question 1

Correct Answer: 1,3,4,5

It is important that the patient's priest be notified. Pregnant women do not care for dying persons or attend funerals. Extended family members are obligated to pay respects to the sick and dying. Based on the belief that worry may make health worse, the family may want to protect the patient from the seriousness of illness. The information is often handled by an older daughter or son. It would be unusual for the family of this patient to express the wish to transfer the patient from home to a hospital. Mexican American families often prefer that the patient die at home.

Answer to Question 2

Correct Answer: 1,2,3,5

Initiating intravenous fluids for hydration purposes in the dying patient may increase fluid in the lungs, peripheral edema, ascites, and vomiting. The patient is much less likely to lose weight at this time.

[bobbie]

Thank you

[kjo;oj]

No problemo