A mother confides to the nurse that she is thinking of divorce. Which suggestion by the nurse would help minimize the effects on the child?
A) "Tell the child together using appropriate terms."
B) "Reassure him that no one loves him more than you."
C) "Do special things with him to make up for the divorce."
D) "Share your feelings with the child."
A
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An adolescent is receiving methotrexate chemotherapy after undergoing limb-salvage surgery for osteogenic sarcoma. The nurse knows the teen understands what to expect for the schedule of administration for leucovorin therapy if the teen says:
1. "I don't have any pain, so I won't need to take the leucovorin this time." 2. "I don't have any nausea, so I won't need the leucovorin." 3. "I'm glad I only need one dose of the leucovorin." 4. "It is important that I receive my leucovorin on time as it protects my body from the methotrexate."
The nurse has medicated a three-day postoperative client with oxycodone. After documenting the medication administration, the nurse should plan to:
a. reassess the client in 2 hours c. reassess the client in 10 minutes b. reassess the client in 45 minutes d. assess the client's vital signs
Select the factor that is most likely to increase a client's motivation to learn
a. A severe illness with the potential to be fatal b. The presence of the client's significant other during teaching session c. A college education d. A high socioeconomic level
The nurse recognizes that which of the following clients is at greatest risk for complicated (dys-functional) grief?
1. A 26-year-old who is diagnosed with rheumatoid arthritis 2. The 58-year-old only child whose mother recently died of cancer 3. A teenage parent whose child died of sudden infant death syndrome (SIDS) 4. A 50-year-old diabetic client who has experienced an above-the-knee amputation