The dying child has two siblings. The nurse would encourage the parents to:

a. Give equal time to all of their children
b. Involve the siblings in the care of the dying child
c. Tell the siblings they should not be jealous of their dying sibling
d. Avoid enforcing any rules until after the death


B
Giving equal time to all of the children may not be possible. The siblings should be encouraged to participate in the care of the dying child. The siblings may feel jealous of the extra attention the dying child is receiving. The siblings should be allowed to express their feelings. Jealousy about the extra attention should be expected. The parents should continue to enforce all of the rules.

Nursing

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The patient receiving continuous venovenous hemofiltration with dialysis (CVVHD) is having profound hypotension. What is the most appropriate first nursing action?

A) Reduce blood flow rate B) Obtain an order for a change in the ultrafiltration goal C) Raise the ultrafiltration collection device D) Reduce the infusion rate of replacement fluid

Nursing

While being interviewed, a client admits to the nurse that she has been hearing voices and sounds for the past three days

Which response by the nurse is the most appropriate? 1. "How long have you been hearing these voices?" 2. "Tell me about what the voices tell you to do." 3. "These must be other things you are hearing." 4. "Do the voices bother you during the night only?"

Nursing

The nurse is using the DETERMINE nutrition screening tool when assessing the nutritional status of an older patient. Which criteria are included in this screening tool? Standard Text: Select all that apply

1. Disease 2. Above the age of 80 3. Reduced social contact 4. Eats fruits and vegetables 5. Needs assistance in self-care

Nursing

A 72-year-old patient is on hormone therapy (HT). What should the nurse suggest for the patient?

a. Semiweekly douche to wash out cervical debris b. Liver function assessment annually c. Mammogram biannually d. Pap smear annually

Nursing