Your client has made decisions about the disposal of his wife's possessions (she died the previous year). He did this without guilt or feelings of abandonment. Which phase of grieving is he in?
1. reflection: physical, emotional, and spiritual suffering
2. anticipatory grieving
3. recognition: shock and denial
4. redirection: reorganization and moving ahead
ANS: 4
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1. Release of cytokines 2. Proliferation of CD 8 cells 3. T-helper 1 stimulation to kill unidentified cells 4. T-helper 2 memory of a previous exposure to the same virus that caused the patient's illness
Fentanyl and midazolam (Versed) are given before débridement of a child's burn wounds. Which is the rationale for administration of these medications?
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A client's baseline vital signs are temperature 98° F oral, pulse 74 beats/min, respiratory rate 18 breaths/min, and blood pressure 124/76 mm Hg. The client suddenly spikes a fever of 103° F. Which respiratory rate would the nurse anticipate as part of the body's response to the change in client status?
A. 12 breaths/min B. 16 breaths/min C. 18 breaths/min D. 22 breaths/min
Based on the client's reported pain level, the nurse administers 8mg of the prescribed morphine. The medication is available in a 10mg syringe. Wasting of the remaining 2mg of morphine should be done by the nurse and a witness. Who should be the witness?
a) nursing supervisor b) LPN c) client's health care provider d) designated nursing assisstant