What can caregivers do for a dying patient who suffers from diminished vision?
a. Keep lights bright to increase visual acuity.
b. Stand slightly away from the bed and identify themselves before speaking.
c. Keep all lights on in the room, day and night.
d. Come close to the bed and stand directly in front of the patient.
Question 2When the dying patient becomes delirious, what should the nurse encourage the family to do?
a. Leave the room and wait outside until the delirium clears.
b. Hold the patient's hand, but say nothing, because hearing stays intact until death.
c. Remain near the bed and speak to the patient in loud tones to stimulate the patient.
d. Touch the patient, call the patient by name, and speak in reassuring tones.
Question 3A dying patient is receiving 2 mg of morphine sulfate every hour. The patient's daughter is worried about oversedation. What does the nurse explain that this small dose of morphine controls?
a. Dyspnea
b. Pain
c. Hallucinations
d. Fatigue
Question 4What is a cardiovascular sign of impending death?
a. Cheyne-Stokes respiration
b. Bounding pulse
c. Cyanosis of the extremities
d. Increased blood pressure
Question 5What is the objective of pain control for the dying patient?
a. Keep the patient unconscious and relaxed to avoid the perception of pain.
b. Delay medication until the patient reports that the pain is intense.
c. Find a control level that reduces pain but allows the patient to interact.
d. Eradicate pain completely.
Question 6What is the average fluid intake necessary for safe administration of a bulk-forming laxative to a dying patient?
a. 1000 mL
b. 1500 mL
c. 2000 mL
d. 2500 mL
Question 7What would be the most acceptable intervention for the nurse dealing with a patient with a threat of aspiration?
a. Perform deep tracheal suctioning of the patient every hour.
b. Place the patient in a side-lying position, with the head turned to the side.
c. Slightly elevate the foot of the bed, with the patient in a supine position.
d. Give the patient only thickened fluids.
Question 8The patient with terminal liver cancer says to the nurse, I'm going to take a long time to die, aren't I? I'm going to get sicker and weaker every day. What would be the best response by the nurse?
a. You will die in 4 to 6 months.
b. I don't want to hear this kind of negative talk. Make use of the time you have.
c. We have many medications that can make you feel better.
d. What concerns you the most about dying?