The nurse provides palliative care to a client with end-stage ...

[saraeharris]

The nurse provides palliative care to a client with end-stage renal disease and a chronic upper respiratory infection. Which interventions should be included in this type of care? (Select all that apply.)
 
  A) Providing the client with a foot massage
  B) Administering ordered analgesics
  C) Assisting with a kidney transplantation
  D) Clearing secretions from the client's airway for easier breathing
  E) Gently stretching the client's arms and legs to preserve range of motion

Question 2

The nurse cares for a client whose husband of 50 years died last week. The nurse arrives at her home to find her staring out of a window in a stupor, her face devoid of any emotion.
 
  When the nurse speaks with her, the client seems withdrawn and distant. Which phase of grief should the nurse most suspect this client to be in?
  A) Numb shock
  B) Emotional turmoil
  C) Reorganization
  D) Resolution

[shoemake]

Answer to Question 1

Ans: A, B, D, E
Feedback:
Palliative care is interdisciplinary team-based care that is focused on the relief of suffering for clients with serious illness. Nursing interventions that help enhance the quality of clients' lives, reduce pain and suffering, optimize functionality, and promote appropriate goal setting and decision making are integral to the provision of excellent palliative care. Assisting with a kidney transplantation would be classified therapeutic or treatment-oriented care, not palliative care. All other interventions listed refer to reducing pain and suffering and optimizing functionality of the client.

Answer to Question 2

Ans: A
Feedback:
In the numb shock phase of grief, the widow or widower cannot believe the spouse's death occurred. This phase is marked by shock, emotional dullness, and restless behavior that may include stupor and withdrawal. One wants to protect oneself from the feeling of loss. In the emotional turmoil or depression phase of grief, alarm or panic-type reactions occur. Emotional expression may include crying, low mood, sleep disturbance, and anorexia. Anger, guilt, or longing for the deceased may take place. The widow or widower may also become preoccupied with the meaning of the loss. In the reorganization or resolution phase of grief, coping strategies and positive outlooks emerge. A final resolution phase leads to acceptance of the loss. The widow or widower may return to prior levels of functioning.