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An older patient with stage 3 chronic
An older patient with stage 3 chronic kidney disease and end-stage left-sided heart failure is enrolled in Hospice. The patient is nearing the end of their life, and death seems imminent within the next few weeks. The Hospice nurse reports that the patient has a lot of oropharyngeal secretions, and the patient doesn’t consistently clear them by coughing. Which of the following would be the most appropriate action? A. Order dextromethorphan 20mg PO elixir every 4 hours B. Suction the oral cavity every 2 hours C. Order furosemide 40mg PO daily D. Order scopolamine transdermal patch, 1 patch every 72 hours SCIENCE HEALTH SCIENCE NURSING
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