A client who is in the terminal phases of a debilitating muscular disease tells his wife that he believes the health care team has "failed" and "given up" on him, and "aren't trying as hard." The nurse caring for this client
A)
Clients who feel this way are in denial of the facts of their care.
B)
This idea of abandonment is unfounded.
C)
When clients become terminal, physician care is no longer necessary.
D)
This is a common fear in the terminally ill client.
D
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An older adult client is experiencing a tonic-clonic (grand mal) seizure exceeding 10 minutes in length. Which medication should the nurse prepare to administer to this client?
A) Intramuscular injection of diazepam B) 5% dextrose solution IV C) Intravenous diazepam slowly over several minutes D) Intravenous bolus of 10% dextrose
A measured value is within two standard deviations of the mean but not within one standard deviation, and it is greater than the mean. The distribution is very close to a normal distribution. What does this signify? (Select all that apply.)
a. This particular value is not an outlier. b. In the data set, almost 2/3 of the values are closer to the mean than this one is. c. The data point falls within the majority of the measured values, in terms of its closeness to the mean. d. In the data set, at least 4% of the values are further from the mean than this particular value is. e. In this data set, between 65% and 95% of the values are smaller in value than this one is.
An older patient is upset with a blood pressure reading of 180/78 mmHg. What response by the nurse is best?
a. "It looks like you need blood pressure medicine now." b. "Most people get hypertension when they get older." c. "With age, blood vessels stiffen, raising blood pressure." d. "Don't worry, there are lots of good me-dications for this."
A patient develops increasing dyspnea and hypoxemia 2 days after heart surgery. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by heart failure, the nurse will plan to assist with
a. obtaining a ventilation-perfusion scan. b. drawing blood for arterial blood gases. c. insertion of a pulmonary artery catheter. d. positioning the patient for a chest x-ray.