1. 1. The nurse is caring for an unresponsive terminally ill patient who has
20-second periods of apnea followed by periods of deep and rapid breathing.Which action
by the nurse would be appropriate?:
Answer Document Cheyne-Stokes respirations.
2. The nurse is caring for an adolescent patient who is dying. The patient's parents are
interested in organ donation and ask the nurse how the healthcareproviders determine brain
death. Which response by the nurse accurately describes brain death determination?:
Answer "Brain death has occurred if there is not any breathing or brainstem reflexes."
3. A patient in hospice is manifesting a decrease in all body system functions except for a
heart rate of 124 beats/min and a respiratory rate of 28 breaths/min. Which statement, if
made by the nurse to the patient's family member, is most appropriate?:
Answer "These vital signs are an expected response nowbut will slow down later."
4. A patient who has been diagnosed with inoperable lung cancer and has a poor
prognosis plans a trip across the country "to settle some issues with family members."The
nurse recognizes that the patient is manifesting whichpsychosocial response to death?:
Answer Anxiety about unfinished business
5. A patient with terminal cancer is being admitted to a family-centered inpatient hospice.
The patient's spouse visits daily and cheerfully talks with the patient about wedding
anniversary plans for the next year. When the nurse asks about any concerns, the spouse
says, "I'm busy at work, but otherwisethings are fine." Which provisional nursing diagnosis
is appropriate for the patient's spouse?:
Answer Ineffective coping related to lack of grieving
6. As the nurse admits a patient in end-stage renal disease to the hospital, the patient tells
the nurse, "If my heart or breathing stop, I do not want to be resuscitated."Which action
should the nurse take first?:
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