The nurse accompanies the physician into the client's room and listens as the diagnosis of cancer is shared with the client and family. After the physician answers questions and leaves the room, the nurse's best action is to:
1. Provide teaching about the treatment options for this form of cancer.
2. Help the client and family remain realistic about prognosis.
3. Provide emotional support in coping with the diagnosis.
4. Arrange for the client to complete a medical power of attorney form.
3
Rationale: When a client and family receive a new diagnosis of cancer, it tends to evoke many emotions, including fear, grief, and anger. This is not an opportune time to teach or set goals. The client and family require emotional support at this time, and other actions can be initiated when they have time to learn to accept and cope with the diagnosis.
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According to Worden's four tasks of mourning, before children can deal with the loss, they must:
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The nurse realizes that a client diagnosed with kidney disease is at risk for acid-base imbalances. Which of the following explains how the kidney contributes to acid-base balance? (Select all that apply.)
1. Secretes hydrogen ions 2. Reabsorbs bicarbonate 3. Generates new bicarbonate 4. Produces erythropoietin 5. Converts vitamin D 6. Excretes waste products from protein metabolism
A patient experiencing acute mania is dancing atop a pool table in the recreation room. The patient waves a cue in one hand and says, "I'll throw the pool balls if anyone comes near me." To best assure safety, the nurse's first intervention is to:
a. tell the patient, "You need to be secluded." b. clear the room of all other patients. c. help the patient down from the table. d. assemble a show of force.
A hospice nurse is caring for a client with terminal cancer
The family would like the client to continue aggressive therapy to treat the cancer, but the client has voiced to the nurse that, after much thought, he does not want to pursue any further treatment. The nurse speaks to the family about the client's wishes, condition, and terminal state. This action is most likely derived from which nursing obligation? A) legal responsibilities B) nursing education principles C) advanced practice licensure guidelines D) moral values