Author Question: The nurse determines that a terminally ill client is nearing death. What did the nurse assess to ... (Read 32 times)

savannahhooper · **on:** Jul 23, 2018

The nurse determines that a terminally ill client is nearing death. What did the nurse assess to make this clinical decision?

1. Diarrhea
2. Muscle spasms
3. Slow, weak pulse
4. Decreased blood pressure
5. Cyanosis of the extremities

Question 2

The nurse is providing emotional support to a client who just learned the outcome of a biopsy. What actions will be the best for the nurse to provide at this time?

1. Encourage the client to resume normal activities on a schedule that promotes physical and psychological health.
2. Use therapeutic communication techniques.
3. Offer choices that promote client autonomy.
4. Provide information about community resources or support groups.
5. Acknowledge the grief of the client.

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

Answer to Question 1

Correct Answer: 3, 4, 5
Rationale 1: Diarrhea is not a clinical manifestation of impending death.
Rationale 2: Muscle spasms are not a clinical manifestation of impending death.
Rationale 3: A slow, weak pulse is a clinical manifestation of impending death.
Rationale 4: Decreased blood pressure is a clinical manifestation of impending death.
Rationale 5: Cyanosis of the extremities is a clinical manifestation of impending death.

Answer to Question 2

Correct Answer: 2, 3, 4, 5
Rationale 1: Encouraging the client to resume normal activities on a schedule that promotes physical and psychological health would be appropriate to facilitate grief work, but would not provide emotional support.
Rationale 2: Therapeutic communication techniques let the client know that the nurse acknowledges the client's feelings.
Rationale 3: Offering choices that promote autonomy helps the client have a sense of some control at a time when much control might not be possible.
Rationale 4: Providing information about community resources or support groups provides the client with sources of additional information.
Rationale 5: Acknowledging the grief of the client is helpful when providing emotional support.