The patient who has been diagnosed with a terminal illness is crying when the nurse enters the room. The patient states, "I promised God that I would be a better person if He will just let me get over this disease
" The nurse recognizes this as Kübler-Ross's stage of: 1. denial.
2. anger.
3. bargaining.
4. depression.
3
In the bargaining stage, the person wishes for more time to avoid the loss. The patient may express feelings that the loss is occurring as a punishment for past actions and may try to bargain with a higher power to gain time.
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The nurse is administering an IV push medication through an existing saline lock. The facility where the nurse works has a policy that a heparin flush is used to maintain patency of the saline lock
After preparing the medication, which action by the nurse is the most appropriate? 1. Prepare two syringes with normal saline and one syringe with heparin. 2. Prepare two syringes with heparin flush and one syringe with normal saline. 3. Prepare one syringe with heparin flush and one syringe with normal saline. 4. Prepare two syringes with heparin flush and one syringe with normal saline.
The nurse is caring for a patient whose labor is being augmented with oxytocin. The nurse recognizes that the oxytocin should be discontinued immediately if there is evidence of:
1. uterine contractions occurring every 8 to 10 minutes. 2. an FHR of 180 with absence of variability. 3. when the patient needs to void. 4. when the patient's amniotic membranes rupture.
A dying patient is crying. She states, "I can't pray. I can't forgive myself." What would be an appropriate nursing diagnosis based on this data?
A) Noncompliance C) Low Self-Esteem B) Knowledge Deficit D) Spiritual Distress
The charge nurse is reviewing the plans of care for four clients in labor. Which care plan requires additional information before implementing?
1. Administration of a spinal anesthetic to a client who is scheduled for a vaginal delivery 2. Administration of a spinal anesthetic to a client with a history of irritable bowel syndrome (IBS) 3. Administration of epidural anesthesia to a client who is in the first stage of labor and has a shellfish allergy 4. Administration of epidural anesthesia to a client with a history of vomiting secondary to hyperemesis gravidarum