Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse overhears her school-age siblings tell her, "We are sick of Mom always sitting with you in the hospital and playing with you
It isn't fair that you get everything and we have to stay with the neighbors." Which is the nurse's best assessment of this situation?
a. The siblings are immature and probably spoiled.
b. Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.
c. Family has ineffective coping mechanisms to deal with chronic illness.
d. The siblings need to better understand their sister's illness and needs.
ANS: B
Siblings experience loneliness, fear, and worry, as well as anger, resentment, jealousy, and guilt. The siblings experience stress equal to that of the hospitalized child. There is no evidence that the family has maladaptive coping mechanisms.
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tests reveal no cancer. The priority nursing diagnosis for this client would be a. social isolation. b. risk for self-directed violence. c. impaired verbal communication. d. ineffective health maintenance.
The nurse has noted that an 80-year-old patient's pedal pulses are faintly palpable and has raised the possibility of arterial insufficiency and decreased cardiac output with the patient's health care provider
Which of the following statements should inform the nurse's interpretation of this assessment finding? A) Due to age-related changes, the peripheral pulses of older adults are normally difficult to palpate. B) In older adults, arterial insufficiency is not normally associated with decreased peripheral pulses. C) Difficult palpation of the peripheral pulses is suggestive of venous insufficiency rather than arterial insufficiency. D) Because of decreased elasticity of the arteries, the peripheral pulses of older adults are usually easy to palpate.
A patient with metastatic cancer has had several fractures secondary to bone metastases. The provider orders denosumab (Xgeva). What will the nurse teach this patient?
a. Denosumab may delay healing of these fractures. b. Denosumab should be given subcutaneously every 12 months. c. Denosumab will improve hypocalcemia. d. Unlike bisphosphonates, denosumab does not increase osteonecrosis of the jaw (ONJ).
Which must the nurse realize prior to accepting any assignment as a home health nurse?
1. All decisions will be made by the healthcare provider. 2. Independent decisions regarding emergency care of the child will be made by the nurse. 3. The family will adapt their lifestyle to the needs of the nurse. 4. The family is in charge.