An older adult client with terminal lung cancer is not breathing well and has cold and mottled skin. The client has a living will and requests comfort measures only. What should the nurse do to help this client?

Question

Quizplus · Accepted Answer

A)"Comfort measures only" indicates that the client does not want extraordinary measures to sustain life. This does not mean that nursing care ceases but that nursing care to provide client comfort is intensified and maintained through the end stages of the client's life. Clients with a CMO order should receive effective pain and symptom management, spiritual care, food and fluids as the client is able, and hygiene care. Asking the family what they want to be done is inappropriate when a client has written a living will. Contacting the provider to intervene to control respiration is considered adding extraordinary measures and is inappropriate, as is going against the client's written wishes when a living will is present and in force.
B)"Comfort measures only" indicates that the client does not want extraordinary measures to sustain life. This does not mean that nursing care ceases but that nursing care to provide client comfort is intensified and maintained through the end stages of the client's life. Clients with a CMO order should receive effective pain and symptom management, spiritual care, food and fluids as the client is able, and hygiene care. Asking the family what they want to be done is inappropriate when a client has written a living will. Contacting the provider to intervene to control respiration is considered adding extraordinary measures and is inappropriate, as is going against the client's written wishes when a living will is present and in force.
C)"Comfort measures only" indicates that the client does not want extraordinary measures to sustain life. This does not mean that nursing care ceases but that nursing care to provide client comfort is intensified and maintained through the end stages of the client's life. Clients with a CMO order should receive effective pain and symptom management, spiritual care, food and fluids as the client is able, and hygiene care. Asking the family what they want to be done is inappropriate when a client has written a living will. Contacting the provider to intervene to control respiration is considered adding extraordinary measures and is inappropriate, as is going against the client's written wishes when a living will is present and in force.
D)"Comfort measures only" indicates that the client does not want extraordinary measures to sustain life. This does not mean that nursing care ceases but that nursing care to provide client comfort is intensified and maintained through the end stages of the client's life. Clients with a CMO order should receive effective pain and symptom management, spiritual care, food and fluids as the client is able, and hygiene care. Asking the family what they want to be done is inappropriate when a client has written a living will. Contacting the provider to intervene to control respiration is considered adding extraordinary measures and is inappropriate, as is going against the client's written wishes when a living will is present and in force.

An Older Adult Client with Terminal Lung Cancer Is Not