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    Ati rn comprehensive predictor 2023 proctored exam

    A nurse is planning care for a client who has terminal cancer and is nearing the end of life. Which of the following interventions should the nurse include?

    Explanation & Rationale

    A. Offer the client a blanket to keep warm: Clients nearing the end of life often experience temperature dysregulation and feel cold due to decreased circulation. Providing a blanket promotes comfort and helps maintain dignity in palliative care. B. Remind the client to eat scheduled meals daily: For clients at the end of life, forcing or strictly scheduling meals can increase discomfort and anxiety. Appetite may decrease naturally, and focus should be on comfort and preference rather than rigid meal schedules. C. Speak in a loud tone when addressing the client: Speaking loudly is unnecessary and may cause distress. Communication should remain calm, gentle, and clear, using an appropriate volume and pace to promote comfort and reassurance. D. Place the client in a supine position: Supine positioning may be uncomfortable for clients with terminal illness, especially those with respiratory difficulties. Side-lying or semi-Fowler positions are often more comfortable and support easier breathing.

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