4 Share with Frank memories of own grandparents Bertha now lies quietly with

4 share with frank memories of own grandparents

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4. Share with Frank memories of own grandparents. Bertha now lies quietly with her eyes closed. She no longer responds verbally, but she smiles when her family speaks to her. To assist Frank and Bertha in life review, what is the best intervention by the nurse? 1. Encourage visitors to talk quietly so Bertha is not disturbed. 2. Suggest that Frank bring photo albums to show Bertha. 3. Urge Frank to talk to Bertha about their experiences. Correct 4. Encourage visitors to use touch when communicating with Bertha. Problem Set 10 What other physical symptom should the nurse anticipate? 1. Hyperreflexia in legs and arms. 2. Increased urinary output. 3. Mottling of hands and feet. 4. Head turned away from light. End-of-Life Care Frank decides to go home to sleep in his own bed. Bertha's daughter, Carol, spends the night at the bedside. Early the next morning, Bertha's vital signs are pulse 50 beats/min and thready, respirations 10 breaths/min and shallow, BP 70/30 mmHg, Glasgow Coma Scale 3. Based on the assessment findings, what action should the nurse take? 1. Inform Carol that Bertha's condition is worsening. 2. Suggest that Carol tell Frank to rush back to the hospital immediately. 3. Hold Carol's hand, but do not disclose Bertha's vital signs. 4. Notify the family that Bertha will probably die today. Carol has been observing the nurse and the UAP perform oral suction for Bertha. Carol says, "I know Mama is dying. I can do the suctioning. Would you watch me once?" How should the nurse respond? 1. "Do you think you are strong enough?" 2. "Yes. I would be happy to watch you." 3. "I am not sure that is a good idea." 4. "I think there is a policy against it." Carol notifies her father that her mother's condition is worsening. Frank arrives with his son-in- law and grandchildren. The rabbi is called to be with the family. The family recites the Shema, which reaffirms the basic tenets of the Jewish faith. Bertha moves her lips as they speak but does not open her eyes. As
the day goes on, at least one family member remains at Bertha's side at all times. Members of the synagogue bring food to the waiting room for the family to eat. Problem Set 11 Postmortem Care The family members are at the bedside very early the next day when Bertha stops breathing. The healthcare provider arrives and pronounces the death. As the rabbi is being consulted regarding the preparation of the body, a group of women from the synagogue arrive to assist with postmortem care. How should the nurse respond? 1. Instruct the family and the rabbi to leave the room. 2. Remain available to assist the women of the synagogue as needed. 3. Tell the rabbi that postmortem care must be done by the hospice staff regardless of religion. 4. Remind the family that an autopsy must be performed before the burial. Problem Set 12 Case Outcome Frank comes to the nursing station to say goodbye and offers his thanks. He says, "I will miss my dear wife, but it helped that we could all be with her when she died." Frank and his family leave when the funeral home staff arrive to take Bertha's body. The nurses are able to spend time talking with one another about the experience of helping Bertha and her family through the dying process before they return to caring for other hospice patients.

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