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End of Life TAS

End of Life, NP1 Test 5

QuestionAnswer
What percentage of deaths are from chronic illness? 90 percent
What percentage of deaths are sudden? 10 percent
Who is at the bedside the most during death? Nurse
Dying is a _________ experience. unique
What are four aspects of the HOW of the death experience that must be considered? with or without palliative treatment, euthanasia, passive or aggressive will to live, all patients should receive comfort care.
A terminal client comments that he is considering "ending it." What should the nurse do? Inform the client of the laws concerning euthanasia, then ask what makes them feel this way,
What are possible locations for the death experience? home, hospice, nursing home, hospital, prisons
With whom might the client choose to die? Family, "chosen" family, pets, alone
Who is the patient when death is imminent? The entire family
What is the focus of palliative care? quality of life, not cure
T or F. A client must be terminally ill in order to receive palliative care. False
Define terminally ill Living expectation of six months or less
What are some common client fears concerning death? death process, unknown, abandonment
What are some physical signs of decline? increased weakness/fatigue, increased drowsiness, confusion, decreased oral intake, decreased ability to swallow, restlessness, incontinence, change in vowel elimination
T or F. IV pain medication is common when a client is declining towards death. False. IV pain meds are only used sometimes.
What are some intervention for a client suffering from air hunger? morphine, positioning, fans, O2
What are some nursing interventions for a client experiencing nausea? antiemetics, avoid food smells
T or F. Suctioning should be avoided when a client is declining towards death. True. Scopolamine should be used instead.
Constipation is not a concern when a client is close to death. T or F. False. Stool softeners and suppositories should be used to maintain client comfort.
In palliative care, foley catheterization is the best practice for handling incontinence. False. Foley catheterization should be avoided unless indicated.
Weight loss and low albumin are possible signs of... client decline towards death
How should the nurse talk to a client that is exhibiting signs of decline towards death? Talk normal and respectful, as if the client can hear you at all times.
DNR Do Not Resuscitate
DNI Do Not Intibate
T or F. Designating a health care surrogate guarantees a clients wishes will be upheld. False. Only a power of attorney ensures client wishes will be upheld.
What are signs of imminent death? decreased urine output, cold/mottled extremities, changes in vitals, changes in vision, respiratory congestion, relaxation of facial muscles, changes in breathing pattern.
Define imminent death. Death within hours
What is the typical cause of the "death rattle"? secretions at the back of the throat.
What are some examples of breathing pattern changes when death is imminent? Cheynes-Stokes breathing, agonal breathing
What are some common fears of the family when a client is nearing death? being alone with the patient, how death will occur, what to do, over-medication
Who is authorized to give the official pronouncement of death? ONLY physicians
What should be done with client medications when a client dies at home? They must be destroyed in the home.
What are some duties the nurse may help handle at the time (and shortly after) of client death? communication with the family, organ donors/autopsy candidates, removal of tubes, bathing and dressing, family time, phone calls, notify involved health care parties, funeral arrangements, bereavement support
If an autopsy is likely, what should a nurse leave untouched? Central invasive lines
Created by: tiffiny090180
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