Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 10, End-of-Life Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which of the following nursing interventions will a nurse perform to transfer heat and improve circulation in a dying client? | |
| A) | Change the position frequently. | |
| B) | Gently massage the arms and legs. | |
| C) | Administer warm intravenous fluids. | |
| D) | Administer intramuscular injections. | |
| Ans: | B | |
| Feedback: | ||
| A nurse should gently massage the client’s arms and legs to transfer heat and improve circulation in a dying client. Changing the position frequently helps protect the client’s skin from breakdown. Administering warm intravenous fluids and intramuscular injections will not help transfer heat and improve circulation in a dying client. | ||
| 2. | Which of the following should the nurse report so that the team can consider alternative nutritional and fluid administration routes for a dying client? | |
| A) | Altered gastrointestinal function | |
| B) | Drop in blood pressure and rapid heart rate | |
| C) | Weight loss and inadequate food intake | |
| D) | Irregular eating habits | |
| Ans: | C | |
| Feedback: | ||
| The nurse should report weight loss and inadequate food intake so that the team can consider alternative nutritional and fluid administration routes for a dying client. The nurse need not report altered gastrointestinal function because it is a normal part of the dying process. A nurse should also not report a drop in blood pressure and rapid heart rate or irregular eating habits. | ||
| 3. | Which of the following nursing interventions should a nurse perform to promote the dignity and self-esteem of a dying client? | |
| A) | Communicate hopefulness. | |
| B) | Keep the client clean and well groomed. | |
| C) | Share emotional pain. | |
| D) | Help the client live according to his or her wishes. | |
| Ans: | B | |
| Feedback: | ||
| A nurse should keep the client clean, well groomed, and free of unpleasant odors to promote his or her dignity and self-esteem. Although sharing emotional pain is an essential component of care for dying clients, it will not promote their dignity and self-esteem. Communicating hopefulness helps sustain hope in dying clients. Helping the client live according to his or her wishes is a feature of hospice care. | ||
| 4. | Which of the following interventions should the nurse perform to prevent drying of the oral mucous membranes and lips in a dying client? | |
| A) | Place the client in a cool temperature. | |
| B) | Provide water to the client at regular intervals. | |
| C) | Provide the client with absorbent pads. | |
| D) | Provide oral care, ice chips, and petroleum jelly. | |
| Ans: | D | |
| Feedback: | ||
| The nurse provides oral care, ice chips, and petroleum jelly because mouth breathing makes the oral mucous membranes and lips dry. Placing the client in a cool temperature and providing water to the client at regular intervals will not help prevent drying of the oral mucous membranes. Providing the client with absorbent pads is useful only when the client has lost bladder control and does not prevent drying of the mucous membranes. | ||
| 5. | Which of the following nursing interventions should be implemented for the dying client who is incontinent of urine, with associated skin breakdown, and exhibits a decreased level of consciousness? | |
| A) | Insertion of an indwelling catheter | |
| B) | Use of absorbent pads | |
| C) | Offering a bedpan every 4 hours | |
| D) | Assisting the client to the commode every 2 hours | |
| Ans: | A | |
| Feedback: | ||
| The client may need an indwelling or external catheter, particularly if skin breakdown is a problem. The other options would not be appropriate for the dying client. | ||
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