Family members ask the nurse, "What can we say when our loved one says, ‘Death is coming soon?'" To promote communication, which response could the nurse suggest for family members?
a. "We feel sad when we think about life without you.".
b. "We have not given up on getting you well.".
c. "We think you will be around for a long time yet.".
d. "Let's talk about the good memories we have.".
A
The correct response is emotionally honest. It allows the family opportunities to express emotions, address issues in the relationship, and say farewell. The distracters are evasive.
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a. Separation b. Permanent scarring c. Pain d. Cost e. Body intrusion
While a patient is receiving hygiene care, her chest tube becomes disconnected from the water-seal chest drainage unit (CDU). Which action should the nurse take immediately?
a. Clamp the chest tube close to the insertion site. b. Set up a new drainage system, and connect it to the chest tube. c. Have the patient take and then hold a deep breath while the nurse reconnects the tube to the CDU. d. Place the disconnected end nearest the patient into a bottle of sterile water.
A client with Parkinson's needs to make which of the following changes at meal time for safety?
a. Restrict fluids to prevent aspiration. b. Be monitored for choking due to dysphagia. c. Follow a high fat diet to ease swallowing. d. Eat semi-pureed food.
A patient with nasal trauma has clear, watery fluid dripping from the nose. The nurse performs the halo test, which is positive. What does this positive result indicate?
1. A fracture of the ethmoid or sphenoid sinus 2. The need to suction the patient 3. The presence of cerebrospinal fluid (CSF) 4. A chyle leak