The home care nurse is visiting a patient in the late stages of amyotrophic lateral sclerosis (ALS). Which example indicates that the patient accepts the grief associated with the condition and prognosis?
a. The patient cries about his incapacity.
b. The patient makes jokes about this ap-proaching death.
c. The patient talks with his family about his desires for his funeral.
d. The patient begins to sleep for longer pe-riods of time during the day.
C
Planning with family signals acceptance. Crying, joking, and sleeping are efforts at denial.
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The patient in isolation may experience psychological or emotional deprivation. What should the nurse do to help minimize these feelings?
a. Be cheerful b. Spend extra time with the patient c. Protect the patient from additional infection d. Answer the call light quickly
A mother was debating whether or not to take her son to the clinic. His temperature was 104 ° F and rising so she gave him acetaminophen (Tylenol). Which of the following will most likely be the deciding factor in the mother's decision?
a. Whether or not the child is crying b. Whether or not the fever goes down after the Tylenol c. Whether or not the child seems to be getting better d. Whether or not the child is covered under insurance
The nurse cares for postoperative clients using PCA pain management with a combination of an opioid and a local anesthetic agent on the first postoperative day. Which client should the nurse assess first?
1. Client after jejunostomy for cancer of the colon 2. Client after internal fixation of an ankle fracture 3. Client after amputation during first hospitalization 4. Client with emphysema who had a lung tumor resection
______ is a recognized medical antidote for acetaminophen overdose.
A. Tylenol 3 B. Acetylcysteine (Mucosil) C. Ibuprofen D. Naproxen