The nurse is caring for a client who just had amniocentesis and was told that the fetus has Down syndrome. What is an appropriate outcome goal for this client?
A) To complete the work of grieving during the hospital stay
B) To begin the process of grieving the loss of a normal baby
C) To accept the upcoming birth of a baby with special needs
D) To consider the possibility of a therapeutic abortion
Answer: B
When it is known that the fetus is not as expected, the mother and family will grieve the loss of the perfect baby that they imagined in order to come to accept what is the reality. The work of grief for the loss of the normal infant encompasses the same process as grieving for a death and cannot be accomplished in a few days. The family, hopefully, will accept the upcoming child upon completion of the grieving process. The mother could opt for a therapeutic abortion, but the priority goal is beginning the work of grief.
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When assisting a client with ambulation using an assistive device such as parallel bars or a walking belt, what should the nurse observe the client for in order to ensure safety?
A) Length of stride B) Pallor or dizziness C) Upper arm strength D) Tone of lower body muscles
A client diagnosed with dementia is becoming increasingly unable to express complete thoughts and is having difficulty engaging in simple conversations. When communicating with this client, the nurse should
a. use words directly applicable to the client's daily routine. b. restate ideas using different words in a different sequence. c. refrain from validating the meaning of the client's responses. d. ask the client questions that require more than a yes or no answer.
The client has a tracheostomy secondary to head and neck surgery. The nurse monitors the client for complications related to the absence of which important protective mechanism?
A) Filtration and humidification of inspired air B) Decrease in oxygen-carrying capacity of the trachea C) The sneeze reflex initiated by irritants in the nasal passages D) The ability to cough
What does an elevated CRP and homocysteine indicate in general?