The family of a dying client expresses concern because the client ...

[scienceeasy]

The family of a dying client expresses concern because the client is eating very little. The family suggests that the nurse ask the physician to order tube feedings. The best response by the nurse is:
 
  1. I will call the doctor immediately.
  2. It might be necessary for you to force-feed the client.
  3. Tube feedings will help prolong the client's life.
  4. Not eating can actually decrease the client's pain.

Question 2

The nurse is explaining to the family of an elderly client who is near death that care given to the client is palliative. The nurse determines that the family did not understand the teaching when the family states:
 
  1. Our father will be made as comfortable as possible.
  2. Our father will no longer receive food or fluids.
  3. Our father will not be in pain.
  4. Our father can have a minister visit.

[InfiniteSteez]

Answer to Question 1

Answer: 4

1. If the family persists, the nurse can notify the physician, but the physician will not likely order tube feedings when the client is near death.
2. The nurse will explain the reason for the decreased appetite, and would not advise force-feeding.
3. Tube feedings will not prevent death or prolong life.
4. Not eating produces the breakdown of fats that causes ketosis and a sense of well-being in the client, which helps to decrease pain.

Answer to Question 2

Answer: 2

1. Palliative care includes ensuring the client's comfort.
2. The client who is receiving palliative care is given food and/or fluids to sustain life.
3. The nurse will have PRN orders to help treat symptoms, including pain, so that the client is comfortable.
4. The nurse encourages the family to invite a minister to meet spiritual needs.

[scienceeasy]

Excellent

[diana chang]

TYSM