Assessment of a patient indicates complicated grief. Which statements would the nurse identify as supporting this reaction? Select all that apply
A) "It's been 2 months, and I still want my son back."
B) "I still wait for him to come right through the door every day."
C) "I'm really struggling with trusting anybody anymore."
D) "I wish I could go back to the days before he died."
E) "Life seems so empty now that he's gone. What will I do?"
B, D, E
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A client with COPD is in the hospital. When planning care, which diagnosis takes priority?
a. Activity Intolerance b. Anxiety c. Imbalanced Nutrition d. Impaired Gas Exchange
Two hours after an epidural infusion has begun, a patient complains of itching on her face and neck. The nurse should:
1. Remove the epidural catheter and apply a Band-Aid to the injection site. 2. Offer the patient a cool cloth and let her know the itching is temporary. 3. Recognize that this is a common side effect, and follow protocol for administration of diphenhydramine (Benadryl). 4. Call the anesthesia care provider to re-dose the epidural catheter.
A nurse is caring for a woman who has been hypertensive since her thirty-fourth week of gestation. Assessment findings include urine protein +3, platelet count 95,000 mm3, and elevated AST and ALT levels
The nurse should suspect the development of which of the following? a. HELLP syndrome b. Placenta previa c. Hyperglycemia d. Abruptio placentae
A nurse is completing an assessment on a patient who had just returned from visiting with family in the hospital cafeteria. The nurse notices the patient has slow motor activity, is staring at the wall, and has bloodshot eyes. Which substance does the nurse suspect the patient has consumed?
1. Alcohol 2. Marijuana 3. Cocaine 4. Ketamine