The nurse sits at the bedside of a comatose, terminally ill older client reading the wishes ex-pressed in the numerous cards the client has received. Which concept of grief work is the nurse addressing with this intervention?
a. Everyone needs social interaction.
b. The nurse needs to "attend to the patient."
c. Hearing is believed to be the last sense to be lost.
d. The individual is living until he or she is dead.
ANS: D
An individual is living until he or she has died; the nurse works with the older adult and signifi-cant others to maintain as high a quality of life as possible before, during, and after the loss or death. While the other options are true they are not directly involved in grief work.
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Which of the following should be included in the nursing care of a patient having an epileptic seizure? (Select all that apply.)
a. Protect the patient from injury by removing nearby objects. b. Place the patient in a supine position. c. Monitor vital signs when possible. d. Observe and document progression of symptoms. e. Restrain the patient to prevent injury. f. Suction if necessary.
The nurse instructs a client with chronic renal disease on the prescribed medication furosemide (Lasix). Which client statement indicates that teaching has been effective?
A) "I will take this medication to keep my calcium balance normal." B) "This medication will make sure I have enough red blood cells in my body." C) "I will take this pill to keep my protein level in my body stable." D) "This pill will reduce the swelling in my body and get rid of the extra potassium."
A client is experiencing chronic hypovolemic anemia as evidenced by laboratory results. What symptoms does the nurse expect to find for this client when collecting objective data?
A) Postural hypotension B) Urinary output of 10 mL/hr C) Altered consciousness D) Extreme pallor
Using Betty Neuman's conceptual model, what action by the nurse would indicate primary prevention?
a. Eating French fries and drinking a choco-late shake for lunch b. Taking the elevator instead of the stairs c. Sleeping 4 hours the night before work d. Exercising every other day