The nurse is providing care to a patient with terminal cancer. The patient prefers to be alone and asks, "What's the use of living?" Based on this data, which coping mechanism is the patient exhibiting?
1) Denial
2) Anger
3) Depression
4) Acceptance
ANS: 3
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The client is admitted to the emergency department (ED) with symptoms of a panic attack, including hyperventilation. Based on this data, the nurse plans care for which health problem?
A) Hypoventilation B) Vomiting C) Respiratory alkalosis D) Memory loss
Your client is receiving chemotherapy for a diagnosis of lymphosarcoma. The client experiences nausea. What measures should the nurse suggest to help the client reduce the feeling of nausea?
A) Administer immunosuppressive drugs. B) Apply ice to the skin for brief periods. C) Offer clear liquids such as carbonated beverages, water, and ice pops. D) Advise bed rest as much as possible.
A newly admitted 86-year-old patient has scratch marks in the groin and axilla and on her limbs. There are small, punctate red lesions that the patient says itch "like crazy." Which is the most likely cause and the best nursing action?
a. Senile purpura, and employs skin tear precautions b. Scabies, and employs Standard Precau-tions c. Senile itch, and employs use of emollient d. Allergy, and employs focused assessment for cause
A nurse is caring for a patient who received a spinal block for a cesarean birth. The patient asks the nurse when she can get up to go to the nursery. The nurse’s best response is: “You will need to remain in bed for at least Fill in the blank.”
1. 1–2 hours 2. 24 hours 3. 6–12 hours 4. 3–4 hours