Examl 1:l NSGl 430/l NSG430l (Latestl 2025/l
2026l Update)l Adultl Healthl Nursingl IIl Completel Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l GCU
Q:l euthanasia
Answer:
-deliberatel hasteningl (quickening)l ofl death -allowedl inl somel states -physicianl providesl thel meansl forl ptl tol selfl adminl medsl thatl hastenl death -nursesl cannotl givel thesel medsl butl wel dol havel tol supportl them -ANAl saysl itsl notl compatiblel withl ourl nursingl commitmentl *notl thel samel asl palliativel sedation PALLIATIVEl SEDATION -givel medsl (opioids)l thatl arel potentiallyl harmfull tol producel sedationl tol stopl sufferingl whenl deathl isl imminent -educatel ptl andl familyl thatl therel isl nol concernl ofl addictionl bcl theyl willl diel anywaysl -principlel ofl doublel effect:l itl isl morallyl okayl tol givel someonel al potentiallyl harmfull medl ifl intentl isl tol relievel sufferingl andl notl tol hastenl death
Q:l assessmentl EOL
Answer:
-addressl discomfort -reviewl ofl systemsl >VS,l skinl color,l andl templ showl changesl inl circulation -reviewl abilityl tol cope,l functionall status,l intake,l restl andl sleep -payl attentionl tol subtlel changes -assessl everyl 8l hours.l thenl morel frequentlyl asl changesl occurl -atl thel veryl end:l onlyl dol assessmentsl r/tl comfortl likel painl andl respiratoryl status.l rightl beforel theyl diel focusl onl emotionall supportl notl doingl tasksl !!ASl THEYl AREl APPROACHINGl DEATH
1.l neuro:l important!! 1 / 4
-loc,l reflexes,l pupill response
2.l circ:l skinl color,l vs,l temp
3.l resp:l changel inl patternl andl breathl sounds
4.l GIl GU:l bowell pattern,l I&O,l nutrient/fluidl intakel
5.l skin:l assessl fragilel skinl forl breakdown
Q:l planning
Answer:
-withl family,l likel wherel ptl wantsl tol die -advocate:l forl ptl wishes,l wherel wantl tol die,l emol andl physicall needs,l comfortl andl safety
Q:l implementation
Answer:
-ongoingl info,l copingl strategies -deniall andl griefl mayl bel al barrierl tol learning PREPARINGl FORl DEATH -encouragel ptl andl faml tol talk,l expressl emotions -givel theml privacy -encouragel physicall touch SPIRITUALl NEEDS -assessl forl distress -promotel usel ofl chaplain -allowl theml tol expressl concerns UNUSUALl COMMUNICATION -mayl bel al signl ofl alteredl coping -explainl tol family -assessl forl depression,l anxiety,l delirium -encouragel familyl tol talk DREAMSl ANDl VISIONS -ptl mayl talkl tol peoplel notl therel orl seel objects -mayl havel dreams -assurel thatl thisl isl partl ofl thel experiencel transitioningl froml thisl life -explainl tol family
WITHDRAWAL
-allowl theml tol rest -explainl tol family -talkl tol theml asl theyl arel alert.l gentlel touchl andl softl voicel 2 / 4
ANXIETYl ANDl DEPRESSION -causedl byl painl orl dyspnea,l medsl inl Hl doses,l psychosociall relatedl tol impendingl death,l r/tl physiologicall condition -relaxationl musicl andl breathing,l imagery.l givel theml encouragement,l supportl ANGERl -normall response -cannotl forcel grievingl personl tol acceptl thel loss -allowl theml tol expressl it -youl mayl bel thel targetl ofl anger -familyl mayl bel madl atl ptl forl leavingl them
-kublerl ross:l denial,l anger,l bargaining,l depression,l acceptance
HOPELESSl POWERLESS -givel theml realisticl hopes -helpl theml understandl whatl theyl dontl havel controll over FEAR 1.l pain:l nol indicationl thatl deathl isl painful.l ifl personl isl inl painl givel theml meds.l educatel theml thatl painl medicationl willl bel givenl andl thel SEl canl bel managedl likel sleepiness
2.l SOB/airl hunger:l opioids,l bronchodilators.l oxygen.l anxiolytics
3.l loneliness:l fearl theirl lovedl onesl cantl handlel itl andl willl abandonl them.l touch,l listening,l handl holding 4.l meaningless:l ptl willl dol lifel review,l helpl theml seel thel valuel theirl lifel had.l lookl atl photos
Q:l communication
Answer:
-empathyl andl activel listening -allowl silence -familyl conferencesl mayl bel helpfull inl creatingl al goodl environmentl forl communication -preparel familyl forl changesl inl cognitivel andl emotionall functionl atl endl ofl life
Q:l physicall carel eol
Answer:
-focusl onl symptomsl andl comfort >nutrition,l mobility,l elimination,l skinl care,l pain,l oxygenl
NUTRITION
-antiemetic -orall care 3 / 4
-smalll frequentl meals -dontl forcel theml tol eatl orl drink -icel chipsl orl smalll sipsl ofl water -lubricatel lips
ELIMINATION
-fiber,l mobility,l fluids -removel fecall impaction
-s/sl constipation:l confusion,l restless
-simplel carbs
DELIRIUM
-orientl them,l reassurel inl softl voice,l stayl wl them -welll lit,l quiet,l familiarl room DYSPNEAl COUGH -headl ofl bedl elevated -antitussive -antil anxiety -oxygenl
MYCLONUS
-abnormall movements -givel benzo PAIN -givel painl medsl aroundl clock,l dontl delayl giving -nonl pharm
Q:l postl mortuml care
Answer:
-oncel ptl diesl thel nursel preparesl orl delegatesl preparationl ofl bodyl forl familyl viewing >assessl ptl religiousl orl culturall beliefs,l familyl mayl wantl tol participate -closel eyesl andl jaw,l replacel dentures,l removel dressingsl andl lines,l removel personall items,l washl body,l sitl theml up,l straightenl theml armsl atl sidesl orl onl lap,l combl hair,l incontinencel padl orl brief -neverl referl tol itl asl "thel body) -givel theml asl muchl timel asl theyl need -privacyl throughoutl thel wholel process -familyl caregiver:l givel theml referralsl forl support,l havel theml IDl ppll theyl canl calll whenl theyl needl support,l encouragel normall activities
Q:l needsl ofl nurse
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