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End of Life TAS
End of Life, NP1 Test 5
| Question | Answer |
|---|---|
| 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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