A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which cri
a. High anxiety
b. Denial
c. Reconciliation
d. Adaptation
ANS: B
The father is exhibiting signs of denial. Once the reality of the situation becomes evident, anger and confusion follow.
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The client has a cast extending from just below the left knee to the toes. Which clinical indicator is evidence supporting a desirable outcome statement that the nurse includes in the client's plan of care?
1. Bilateral pink toes 2. Cast warm at ankle 3. Left foot paresthesias 4. Cast quite snug at knee
A nurse working in a hospital oncology unit notices that the number of lung cancer admissions has increased in a particular zip code. What steps should the nurse take to determine what is causing the increase?
A. Notify the nurse manager. B. Both 1 and 4 C. Disregard admissions records for similar cases. D. Present the findings to the public health department for their review.
A client complains of a slight itching, slight pain, and a scratching sound in the ear. The nurse suspects that an insect may have entered the ear. Which of the following should not be done?
1. Add water to flush out the insect. 2. Add mineral oil to kill the insect. 3. Add lidocaine to kill the insect. 4. Call an otologist for a referral.
What are three conditions that may result in Down syndrome?
What will be an ideal response?