A young client is diagnosed with terminal illness. The client is violent when the nurse approaches the client and is experiencing anger and rage as a result of his impending death. How does the nurse explain the client's reaction?
A) Client is angry with the nurse
B) Client is upset with the family
C) Client is rebelling against helplessness
D) Client is denying the diagnosis
C
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The mother of a 4-year-old child rewards and praises the child for helping his younger brother and
for being polite and using good manners. The nurse supports the use of praise because the qualities of politeness and helpfulness will likely be internalized and become part of the child's a. id. b. ego. c. superego. d. preconscious.
A client with venous disease is scheduled for impedance plethysmography. Before the study the nurse would explain that
a. an intravenous dye may be used. b. the procedure is uncomfortable. c. venous blood flow quality will be measured. d. walking on a treadmill is required.
The client, who received 75 mg of diphenhydramine for an acute atopic reaction, is now drowsy and talks slowly when asked a direct question, although she responds correctly. What is the nurse's best action?
A. Perform a neurologic assessment every 2 hours. B. Document the response as the only action. C. Prepare to administer epinephrine. D. Notify the physician.
A nurse is planning care for a child with hyperkalemia. Which clinical manifestation will the nurse plan to assessment this child for based on the diagnosis?
1. Seizures 2. Bradycardia 3. Respiratory distress 4. Hyperthermia