Question

A hospice nurse is providing palliative care for a client who is near death and not responding to verbal stimuli. Which of the following actions should the nurse take?

1) Administer morphine sulfate PO every 4 hr as needed for pain.
2) Apply a scopolamine transdermal patch for increased oral or respiratory secretions.
3) Use restraints if the client is experiencing restlessness.
4) Place a heating pad on the client's feet to warm cool extremities.

Answer 1

In hospice care for a non-responsive patient, a nurse should administer morphine for pain and a scopolamine patch for secretions. Restraints should be avoided, and caution should be exercised when warming extremities to ensure patient safety and comfort.

Step-by-step explanation:

Hospice Nurse Care Actions for a Non-Responsive Patient:

When providing care for a client who is near death and not responding to verbal stimuli, a hospice nurse should follow best practices focusing on comfort and dignity. The nurse should:

1. Administer morphine sulfate PO every 4 hr as needed for pain to manage discomfort.
2. Apply a scopolamine transdermal patch for increased oral or respiratory secretions, helping to keep the airway clear and reducing discomfort from secretions.
3. Restraints should typically be avoided due to the focus on compassionate and respectful care; instead, alternatives for managing restlessness should be considered.
4. While warming cool extremities is important, a heating pad should be used with caution to prevent burns; alternatives like warm blankets may be safer.

Hospice care is designed to provide a dignified and comfortable experience for the terminally ill, prioritizing pain management and symptom relief over curative treatments.