A nurse who is leading a bereavement group should anticipate a more difficult grieving process for which members? Select all that apply
A) A 79-year-old widower who has sustained a number of recent losses
B) A 52-year-old man whose wife died suddenly after a CVA
C) A young couple whose 5-year-old child died of a genetic disorder
D) A 45-year-old woman who had a competitive relationship with her deceased brother
E) A 73-year-old man with a strong religious background whose father died of heart disease
A, B, C, D
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An 82-year-old woman was brought to the emergency department by her granddaughter. She is a widow and lives alone, although her granddaughter checks on her daily
She has been vomiting for 2 days and has not been able to eat or drink anything during this time. She has not urinated for 12 hours. Physical examination reveals the following: T = 99.6°F (37.6°C) orally; P = 110 beats/min, weak and thready; BP = 80/52 mm Hg. Her skin and mucous membranes are dry, and there is decreased skin turgor. The patient states that she feels very weak. The following are her laboratory results: Sodium 138 mEq/L Potassium 3.7 mEq/L Calcium 9.2 mg/dL Magnesium 1.8 mg/dL Chloride 99 mEq/L BUN 29 mg/dL The nurse recognizes that the patient is displaying symptoms associated with which of the following? a. Hypovolemia b. Hypervolemia c. Hypernatremia d. Hyponatremia
Based on physiological adaptations of the newborn at birth, a priority nursing intervention would be:
A) assist the newborn to adapt to extrauterine circulation B) keep the newborn covered to prevent heat loss C) clear airway and promote respiration of the newborn D) prevent infection and improve immune defense
A client was admitted 2 days ago with early stages of septic shock. Today the nurse notes that the client's systolic blood pressure, pulse pressure, and cardiac output are decreasing rapidly. Which intervention does the nurse do first?
a. Insert a Foley catheter to monitor urine output closely. b. Ask the client's family to come to the hospital because death is near. c. Initiate the prescribed dobutamine (Dobu-trex) intravenous drip. d. Obtain blood cultures before administer-ing the next dose of antibiotics.
A patient has just been admitted with a 40% total body surface area (TBSA) burn injury. To maintain adequate nutrition, the nurse should plan to take which action?
a. Insert a feeding tube and initiate enteral feedings. b. Infuse total parenteral nutrition via a central catheter. c. Encourage an oral intake of at least 5000 kcal per day. d. Administer multiple vitamins and minerals in the IV solution.