A patient who is terminally ill expresses a wish to "hurry up and end it all.". In exploring reasons for this wish, which should the nurse assess first?

a. Guilt and fatigue
b. Pain and depression
c. Self-esteem and hope
d. Competency and pain


B
Studies have shown that when pain and depression are adequately treated, patient requests to hasten death diminish.

Nursing

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What is the best description of time management?

A) Short-term planning B) Strategic planning C) Learning how to do things quickly D) Sticking to a daily plan

Nursing

The nurse is reviewing the presurgical patient's lab reports and notes an elevated aspartate aminotransferase (AST) and bilirubin. The nurse is most concerned that this patient is at risk for:

a. excessive bleeding during or after surgery. b. an increased serum albumin level. c. postsurgical respiratory infection. d. delayed wound healing.

Nursing

A 79-year-old male resident of a long-term care facility has contracted Clostridium difficile and is experiencing consequent diarrhea. Auscultation of the man's abdomen indicates hyperactive bowel sounds. What processes in the man's small intestine are most likely accompanying his current status?

A) Pathogenic microorganisms are causing dilation of his small intestine, increasing motility.
B) Segmentation waves have become more frequent as a result of his infection.
C) Intestinal stasis brought on by infection is preventing his small intestine from sufficiently slowing the rate of motility.
D) Inflammation is accompanied by an increase in peristaltic movements of his small intestine.

Nursing

The nurse is contributing to a patient's plan of care for varicose veins. Which of these positioning measures should be included in the care plan for a patient who experiences pain from the varicose veins?

a. Keep legs dependent. b. Cross legs. c. Elevate legs. d. Lie prone.

Nursing