Author Question: A nurse is providing end-of-life care to a terminally ill client. Which of the following actions ... (Read 57 times)

piesebel · **on:** Jul 22, 2018

A nurse is providing end-of-life care to a terminally ill client. Which of the following actions should the nurse take to remove mucus and saliva from the client's mouth?

A) Apply mineral oil to the lips.
B) Position the client in the supine position.
C) Perform suction in the client's mouth.
D) Administer oxygen to the client.

Question 2

A nurse is caring for a client whose injured cells are releasing chemicals such as substance P, prostaglandins, bradykinin, histamine, and glutamate. Which phase of pain is the client experiencing?

A) Transduction
B) Transmission
C) Modulation
D) Perception

quynhmickitran · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
Suctioning helps to remove mucus and saliva that the client cannot swallow or expectorate. A lateral, not supine position keeps the mouth and throat free of accumulating secretions. The lips may need periodic lubrication because they may become dried from mouth breathing or administration of oxygen.

Answer to Question 2

A
Feedback:
The client is going through the transduction phase, which is the first phase of pain in which injured cells release chemicals such as substance P, prostaglandins, bradykinin, histamine, and glutamate. The client is not going through the transmission, perception, or modulation phase of pain. Transmission is the phase during which stimuli move from the peripheral nervous system toward the brain. Perception occurs when the pain threshold is reached. Modulation is the last phase of pain impulse transmission, during which the brain interacts with the spinal nerves to alter the pain experience.