The nurse is providing post-mortem care to a patient on hospice after being treated for stage 4 colon cancer that metastasized to the bladder. Which action by the nurse is most appropriate?

Incorrect

  • Place an absorbent pad under the patient to catch any excreted waste
  • Discontinue the patient’s central line and waste narcotic infusions per protocol
  • Bathe the patient and wash the face after the family has spent time with the patient and left
  • Remove the patient’s dentures and place them with belongings to be sent to the funeral home

Rationale

The patient on hospice is unlikely to have an autopsy performed. Therefore, the most appropriate action is to remove the patient’s central line and waste narcotic infusions per protocol. The patient treated for stage 4 colon cancer that metastasized to the bladder has had the bladder and colon removed; this is a hallmark of care. Therefore, the patient would have both a ureterostomy and colostomy that exit via the front of the body; placing an absorbent pad under the patient would be ineffective to collect waste. Intact drainage bags are the appropriate intervention. The nurse should ensure the patient is clean and appears comfortable before or during the family’s visit. The family can be involved in the bathing process if they desire. Dentures should be placed in the patient’s mouth to preserve face shape.

  • Category: Basic Care and Comfort
  • Difficulty: 8
  • Tags: End of Life Issues Health Care Ethics, Law, and Policy Health Care Quality Elimination Gastrointestinal Hematology/Oncology Nursing Interventions

Question 67 of 75

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