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END OF LIFE CARE EXAM LATEST VERSION
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END OF LIFE CARE EXAM LATESTVERSION
A patient nearing the end of life is restless. What action should the nurse take at
this time?
a. Move the patient to a chair to alleviate restlessness.
b. Reposition the patient in the bed for increased comfort.
c. Eliminate pain medication to enhance bladder continence.
d. Encourage the intake of oral fluids every two hours. - ANSWER Reposition
the patient in the bed for comfort.
During a session with the parents of a small child with a terminal diagnosis, the
doctor mentions an experimental drug but believes that due to the terrible side
effects, the youngster should be placed in hospice care. The mother of the child
exclaims, "That's fantastic news! "There is another treatment that will save our
child!"
Which ANSWER from the nurse is appropriate?
1. "I really don't think it's in the best interest of your child to be subjected to this
medication."
Continuing: "If the side effects get too bad, we can always stop the medication."
c. "The physician believes that this might be the best option for a full recovery."
Essentially, "Why don't we give you some time to weigh the risks and benefits
of this medication." - Answer: "Why don't we give you some time to weigh the
risks and benefits of this medication."
A patient nearing the end of life slept all day but was wide awake by midnight.
What step should the nurse take to meet this patient's needs?
a. Turn on the television to keep the patient interested.
a. Administer sleeping medication as prescribed.
c. Give pain medicine earlier than prescribed.
d. Give the patient reading materials. - ANSWER Administer sleeping
medication as directed.
, Radiation therapy has produced considerable discomfort and skin irritation in an
older adult with metastatic breast cancer. She has asked for no further
treatments and to be allowed to die peacefully. What patient outcome should the
nurse consider when planning care for this patient?
a. The patient will be aware of the coming death.
b. The patient will express her comfort.
b. The patient will resume radiation therapy.
b. The patient will have minimal worry as death approaches. - ANSWER The
patient will express her comfort.
A patient with a terminal condition is admitted due to deteriorating symptoms
and loss of appetite. Following the examination, the nurse finds that the patient
is in a closed state of consciousness. Which observation did the nurse use to
reach this conclusion?
a. The patient states that the goal of treatment is to regain strength and return
home.
b. The patient is aware of his impending death and wishes to know if his
suffering will be controlled.
c. The patient suspects the illness is deteriorating and that death is imminent.
d. The patient is aware that death is approaching but does not wish to discuss it.
- ANSWER The patient states that the goal of treatment is to regain strength
and return home.
The nurse is caring for a patient who is actively dying of colon cancer. Which
intervention should be prioritized for this patient?
a. Proper pain management b. Improving nutrition c. Supporting blood pressure
d. Maintaining airway and oxygenation Adequate pain management.
A pediatric patient with a fatal condition is about to die. Which action should
the nurse adopt to address the patient and family's current needs?
a. Maintaining privacy b. Ensuring prompt, respectful, and open communication
c. Hiring a private nursing assistant d. Using aggressive treatment methods at all
costs - ANSWER Offering fast, sensitive, and transparent communication
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