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jmbt96 jmbt96
wrote...
Posts: 517
Rep: 1 0
6 years ago
A patient who nearing the end of life is irritable and uncomfortable in bed. Which actions should the nurse take to make the patient more comfortable?
 
  Select all that apply.
 
  1. Raise the head of the bed.
  2. Apply bed pads over the linens.
  3. Gently massage the extremities.
  4. Reduce the amount of pain medication.
  5. Use a draw sheet to turn the patient.

Question 2

A patient with a terminal illness is experiencing severe nausea and vomiting. Which medications should the nurse consider appropriate for the patient at this time?
 
  Select all that apply.
 
  1. Furosemide (Lasix)
  2. Ondansetron (Zofran)
  3. Meperidine (Demerol)
  4. Morphine sulfate (Morphine)
  5. Prochlorperazine (Compazine)

Question 3

A patient with a terminal illness says that when the pain becomes too unbearable he plans to take an overdose of pain medication and end it all. How should the nurse respond to this patient's plan?
 
  Select all that apply.
 
  1. Do you have a living will?
  2. Have you assigned durable power of attorney to anyone?
  3. Have you considered a healthcare surrogate?
  4. Have you researched methods for self-euthanasia?
  5. Have you talked with your healthcare provider about orders for life-sustaining treatment?
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 1, 2, 3, 5

Actions to help this patient achieve comfort include raising the head of the bed, applying bed pads over the linens, gently massaging the extremities, and using a draw sheet when turning. Reducing the amount of pain medication can increase this patient's level of pain.

The answer to question 2

Correct Answer: 2, 5

Nausea, with or without vomiting, is a common problem in dying patients. If the patient is conscious and complains of nausea, antiemetics such as prochlorperazine (Compazine) or ondansetron (Zofran) should be administered. Furosemide (Lasix) is a diuretic. Meperidine (Demerol) is an analgesic that can metabolize into products that could lead to seizure activity. Morphine sulfate (Morphine) is an analgesic, which could be causing this patient's nausea and vomiting.

The answer to question 3

Correct Answer: 1, 2, 3, 5

A living will is a document that provides written directions about life-prolonging procedures to follow when an individual can no longer communicate in a life-threatening situation. Durable power of attorney is a document that can delegate the authority to make healthcare decisions. A healthcare surrogate is a person selected to make medical decisions when the patient is no longer able to do so. A physician order for life-sustaining treatment (POLST) is a form for patients with serious, progressive, chronic illnesses that translates their wishes regarding life-sustaining treatment into actionable medical orders. Euthanasia is not supported by the American Nurses Association and would be inappropriate to discuss with the patient.
jmbt96 Author
wrote...
6 years ago
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