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Health Care Assistant (HCA) Practice Exam · Question

A client in long-term care is receiving palliative care. Their family expresses concern that the client's breathing has become shallow and irregular, and they appear to be less responsive. What is the most appropriate action for the HCA to take?

Significant changes in a palliative client's condition, such as altered breathing patterns and decreased responsiveness, must always be reported immediately to

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Question: A client in long-term care is receiving palliative care. Their family expresses concern that the client's breathing has become shallow and irregular, and they appear to be less responsive. What is the most appropriate action for the HCA to take?

Answer options:

  • Reassure the family that this is a normal part of the dying process and continue with routine care. ✅ Immediately notify the Registered Nurse (RN) or Licensed Practical Nurse (LPN) of the client's change in condition.
  • Increase the client's oxygen flow rate if it is available at the bedside.
  • Administer a PRN medication for anxiety, if prescribed, to the family members.

Correct answer: Immediately notify the Registered Nurse (RN) or Licensed Practical Nurse (LPN) of the client's change in condition.

Explanation: Significant changes in a palliative client's condition, such as altered breathing patterns and decreased responsiveness, must always be reported immediately to the supervising RN or LPN for assessment and intervention. This is within the HCA's scope of practice to observe and report.

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