An LPN/LVN on a medical-surgical oncology unit is assisting with the care of a client who is in the final days of life. The client is exhibiting signs of terminal restlessness and agitation, which is causing visible distress to the visiting family members. Which actions should the nurse implement to promote comfort and provide psychosocial support? Select all that apply.
- Dim the lights in the room and minimize extraneous environmental noise.Cevap
- BApply soft wrist restraints to prevent the client from dislodging their medical equipment.
- Inform the family that periods of restlessness and agitation are a normal part of the dying process.Cevap
- DReassure the family that the client is just in the anger phase of grief and will reach acceptance soon.
- Play soft, familiar music if the family indicates it previously brought the client comfort.Cevap
- FAsk the family why they think the client is fighting the dying process.
Cevap
The correct actions are to dim the lights and minimize noise, inform the family that restlessness is a normal part of the dying process, and play soft, familiar music if it brings comfort.
Appropriate end-of-life care for a restless client involves modifying the environment to reduce sensory overload (dimming lights, reducing noise) and implementing familiar, soothing interventions like soft music. Additionally, the nurse provides vital psychosocial support by explaining to the family that terminal restlessness is a normal physiological change during the dying process, which helps validate their concerns and reduce their fear.
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Terminal Restlessness and Palliative Comfort Measures