The nurse is caring for a 15-year-old who just delivered a 32-weeks'-gestation stillborn infant with numerous defects. In caring for this client, the nurse knows which of the following?
1. The client will likely do no grieving, as she is so young and the pregnancy was probably a mistake in any case.
2. Adolescents have a sense of invulnerability, an "It can't happen to me" mentality.
3. The client's mother will handle her daughter's grief, so the nurse doesn't need to be concerned.
4. The nurse will remove the baby before the client sees it.
2
Explanation: 2. Though adolescents have a mature concept of death, it is often clouded by their sense of invulnerability, an "It can't happen to me" mentality.
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An older client is diagnosed with increased eye lens density. Which findings should the nurse expect when assessing this client?
1. Complaints of glare 2. Difficulty with night vision 3. Decreased peripheral vision 4. Difficulty focusing near vision 5. Inability to discern blue and green
The nurse is caring for a client with severe heart failure. What is the best position in which to place this client?
a. High Fowler's, pillows under arms b. Semi-Fowler's, with legs elevated c. High Fowler's, with legs elevated d. Semi-Fowler's, on the left side
Which individual listed below would be at the greatest risk for developing heart disease?
1. 35-year-old with diabetes mellitus and prehypertension 2. 75-year-old with Parkinson's disease and normal blood pressure 3. 52-year-old with osteoporosis and stage 1 hypertension 4. 68-year-old with stage 2 hypertension and recent myocardial infarction
The nurse is providing preoperative care for a client undergoing ambulatory surgery for a tumor excision. Which of the following is a nursing responsibility?
A) Perform preoperative preparation. B) Remove all jewelry including wedding bands. C) Remove eyeglasses, dental prostheses, and hearing aids on initial check-in. D) Make sure the client is wearing one or two ID bands and an allergy band.