Author Question: In order to most effectively address the discomfort of limited oral fluid intake for a client in the ... (Read 71 times)

brutforce · **on:** Jul 23, 2018

In order to most effectively address the discomfort of limited oral fluid intake for a client in the latter stages of the dying process, the nurse should:

1. Provide mouth care at least every 2 hours
2. Offer ice chips each time the client is visited
3. Provide the client frequent sips of a favorite beverage
4. Moisten the client's lips with an appropriate water based lubricant

Question 2

The nurse most effectively addresses the protection of a terminally ill, incontinent client's skin from irritation and breakdown by:

1. Using adult diapers and changing them as soon as they become wet or otherwise soiled
2. Assessing the client's bed frequently for wetness and assuring clean, dry linens and clothing
3. Securing an order for an indwelling catheter and keeping the perineal area free of fecal matter
4. Offering the client frequent opportunities to toilet and responding promptly to requests to toilet

leahchrapun · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Client is less willing or able to maintain oral fluid intake reduce discomfort from dehydration by providing mouth care at least every 2 to 4 hours. Lubricating the client's lips should be included in mouth care while the other options may be impractical if the client is unable or unwilling to take fluids orally.

Answer to Question 2

ANS: 2
Progressive disease and decreased level of consciousness can result in both urinary and fecal in-continence. The most effective means of protect skin from irritation or breakdown is by main-taining dry linens and clothing. The remaining options are not inappropriate, but a client may not be able to respond to the need to urinate or defecate. While adult diapers and an indwelling catheter are viable interventions, the client must still be provided with care that ensures that skin will be clean and dry.