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    Hesi rn pediatric and women health (wgu) proctored exam

    A nurse is caring for a client who is near the end of life. The client's partner asks the nurse to ease the client's breathing difficulty. Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A reason: Bronchodilators are used for conditions such as asthma or COPD to relieve bronchospasm. They are not routinely indicated for end-of-life dyspnea unless the client has a specific underlying respiratory condition. This option is incorrect because it does not address typical palliative care measures. Choice B reason: Placing the client in Trendelenburg position (head lower than feet) worsens breathing difficulty by increasing pressure on the diaphragm and promoting aspiration risk. This option is incorrect because it would exacerbate respiratory distress. Choice C reason: Using a fan to increase air circulation is a simple, non-invasive, and effective intervention for relieving dyspnea at the end of life. The sensation of moving air across the face can reduce the perception of breathlessness and improve comfort. This is the correct answer because it aligns with evidence-based palliative care practices. Choice D reason: Decreasing oral fluid intake does not relieve dyspnea. While fluid restriction may be used in cases of fluid overload, it is not a direct intervention for easing breathing difficulty in end-of-life care. This option is incorrect because it does not address the client’s immediate symptom.

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