The nurse sits with the family as the physician informs them of the new mother's death. When the provider leaves, the family looks at the nurse and says, "I don't understand
What happened? How could a young healthy woman just die?" The nurse's best response is to provide: 1. A detailed explanation in laymen's terms of the events that happened.
2. Reassurance that the pain will subside in time.
3. Support, comfort, and understanding.
4. The family with a number to call for counseling when they get home.
3
Rationale: The family does not really need a description of the pathology related to the event, and that would be best provided by the physician. The nurse should provide support, comfort, and understanding, and may consider calling the chaplain or Social Services to sit with the family until they are ready to go home. They should not be sent home with a phone number until they have time to process the client's death.
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When developing a plan of care for a patient with acute myelogenous leukemia (AML), the oncology nurse should keep in mind that:
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The 154-pound adult client has had vomiting and diarrhea for 4 days secondary to a viral infection. The nurse has been monitoring intravenous fluids and urine output
What hourly urine measurement would indicate to the nurse that efforts to rehydrate this client have not yet been successful and should continue? 1. 35 mL per hour 2. 80 mL per hour 3. 50 mL per hour 4. 30 mL per hour
The client delivered by cesarean birth three days ago, and is being discharged. Which statement should the nurse include in the discharge teaching?
A. "If your incision becomes increasingly painful, call the doctor." B. "It is normal for the incision to ooze greenish discharge in a few days." C. "Increasing redness around the incision is a part of the healing process." D. "A fever is to be expected because you had a surgical delivery."