In the last days of life, the patient becomes dehydrated. What is an appropriate practical nurse action?

• A. Apply lubricant to his lips and oral mucous membranes
• B. Arrange for intravenous fluid replacement
• C. Obtain an order for fluids via hypodermoclysis
• D. Insert a nasogastric tube to administer fluids

Answer: (A)

In the final stages of life, the goal is comfort with minimal burden. Dry lips and a parched oral mucosa can cause real discomfort and distress, so providing lip and oral mucosa lubrication directly addresses a symptom that affects quality of life. It’s a simple, noninvasive measure that preserves dignity and can be done without invasive procedures or turning to medical interventions. The other options involve more invasive or burdensome treatments (IV fluids, subcutaneous fluids, or a nasogastric tube) that are not consistent with comfort-focused end-of-life care unless there is a specific, patient-directed goal to pursue such measures.