The nurse is working with the family of a client who is near death. The client is unresponsive, his extremities are cool, and respirations are shallow. Which of the following actions by the nurse is most appropriate at this time?

A) Ask the family to leave the room.
B) Encourage family members to talk to the client.
C) Explain that the client is not aware of their presence.
D) Leave the family alone with the client.


B
Feedback: Encouraging the family to talk to the client will help them with grieving; it can provide an opportunity to say goodbye.

Nursing

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A patient who is a recovering alcoholic has been diagnosed as having panic attacks. The psychiatrist mentions plans to treat the patient with daily doses of medication

Of the medications listed below, for which drug should the nurse plan patient teaching? a. Paroxetine (Paxil) b. Alprazolam (Xanax) c. Chlorpromazine (Thorazine) d. Propranolol (Inderal)

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The patient considering a vasectomy tells the nurse he is afraid he will be impotent after the surgery. The nurse lists the expected outcome(s) of the procedure as: (Select all that apply.)

a. remaining potent, but sterile. b. having a minor impact on libido. c. incurring no effect on performance. d. having no effect on amount of ejaculate. e. retaining some sperm for several weeks.

Nursing

The nurse assesses a client's chest tube and finds continuous bubbling in the water seal chamber. When the nurse clamps the chest tube close to the client's dressing, the bubbling stops. How does the nurse interpret this finding?

a. An air leak is present at the chest tube in-sertion site or in the thoracic cavity. b. An air leak is present in the drainage sys-tem. c. More water needs to be added to the water seal. d. The system is functioning appropriately and no intervention is needed.

Nursing

When prescribing topical penciclovir (Denavir) for the treatment of herpes labialis (cold sores) patient education would include:

1. Spread penciclovir liberally all over lips and area surrounding lips. 2. Penciclovir therapy is started at the first sign of a cold sore outbreak. 3. Skin irritation is normal with penciclovir and it should resolve. 4. The penciclovir should be used a minimum of 2 weeks to prevent recurrence.

Nursing