A client has been recently told that the primary cancer has metastasized and the cancer is consid-ered terminal
When the nurse offers to discuss palliative care options the client replies, "I can't understand why you all want to upset me by bringing the topic up. Now please just leave me alone." The nurse recognizes this response as:
1. Anger
2. Disbelief
3. Bargaining
4. Acceptance
ANS: 1
In this example, the client blames others and complains. The client often directs anger toward the nurse or others. The remaining options are other stages of the grieving process.
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A 1-day-postoperative client has both morphine sulfate (MS) and meperidine (Demerol) prescribed for pain. Upon which assessment would the nurse decide to give the meperidine rather than the morphine sulfate?
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The nurse is caring for a pregnant client who is taking isoniazid for the treatment of tuberculosis. The nurse knows that pregnant clients taking isoniazid therapy should also receive:
1. ethambutol (Myambutol). 2. pyrazinamide (PZA). 3. pyridoxine. 4. rifampin (Rifadin, Rimactane).