Later in your shift, you find R.M.'s daughter sitting in a chair at the end of the hall crying
quietly. You pull up a chair and sit. She tells you, "I had always thought mom was going to
fight this.
It is really just kind of hitting me that she is actually dying. You just think after
surgery and all the chemo everything is going to be fine." What is your best response?
a. "Let's talk about what is going on with your mother's illness."
b. "Don't worry about her dying now. Focus on getting her through this surgery."
c. "Your mother is receiving the best care available. Let's talk about her surgery."
d. "You are being rather pessimistic. You just need to maintain hope for your mother."
a
Providing a time for her daughter to verbalize her feelings is the most helpful right now. Telling
her not to worry ignores her feelings and labelling her as pessimistic is inappropriate. Offering
reassurances about the quality of care R.M. is receiving does not address her concerns.
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A child weighs 32 lb. The health-care provider orders a loading dose of midazolam (Versed) prior to intubation
The safe dose range for this drug is ____________________.
After administering an opioid antagonist, which of the following would be most appropriate for the nurse to do when the client's pain recurs? Select all that apply
A) Change opioid antagonists. B) Review the circumstances that led to the use of the opioid antagonist. C) Assess the client's pain level. D) Begin to treat the pain again. E) Decrease the rate of opioid antagonist administration.
The nurse is planning care for the client diagnosed with viral rhinitis. Which of the following would be the best goal of care for this client?
1. Prevent secondary bacterial infection. 2. Prevent rhinitis medicamentosa. 3. Refrain from use of analgesics. 4. Encourage complete participation in activities.
A public health nurse discusses with a client which services are appropriate to meet her needs. The public health function is as a/an:
1. Case manager 2. Advocate 3. Counselor 4. Role model