Exam 53: Pathophysiology at the End of Life

The nurse would expect to assess which metabolic condition in the client at the end of life who is vomiting?

What suggestions should the nurse give the family of a client with end-stage cancer who is experiencing nausea and vomiting?

The nurse is assessing a hospice client who has had changes in cognition due to delirium. Using the Confusion Assessment Method, what would the nurse expect to find?

What action should the nurse take when a home hospice client exhibits Cheyne-Stokes breathing?

A client at the end of life has an antimuscarinic medication ordered for secretion management. When is the ideal time for the nurse administer this medication?

Which action by the spouse of a hospice client indicates understanding of the nurse's teaching plan for reducing dyspnea?

Which is the best way for the nurse to assess pain in the neonate?

An alert and oriented female client in early hospice care is experiencing urinary incontinence. Which is the most appropriate initial intervention for this client?

When starting a terminal client on an opioid for pain control, which action should be included in the plan of care?

What is the best way for the nurse to determine if a client is experiencing dyspnea?

How should the nurse respond when the son of an end-stage cancer patient tells the nurse that his "dad is refusing to eat" and he fears that his father has "given up hope"?

Which nursing intervention would be a priority in managing dyspnea in the hospice client?

The daughter of a client, who is at the end of life, is concerned that the gurgling sound she hears is her father drowning in his own secretions. What is the best initial response by the nurse?

At the time of death, which finding is the nurse most likely to assess?

The plan of care for a client in hospice care should include:

A client in the terminal phase of dying reports feeling very tired and no longer wants to get out of bed and engage with family. What is the best response for the nurse to make to the family?

The nursing care plan for a client in hospice who is experiencing daytime coughing due to excessive accumulated secretions should include:

Which of the following pain medication orders for a client with ovarian cancer would be most appropriate for the nurse to use to control a client's chronic pain?

The nurse is using the Karnofsky Performance Scale to determine the performance status of a client in palliative care with end-stage lung cancer. With a score of 50, what activity level should the nurse anticipate?

The nurse is caring for a client in palliative care who is alert and oriented to person, place, and time. Which assessment data would be most appropriate in determining the client's need for pain medication?