A terminally ill client is more alert and talkative, and she is requesting specific foods to eat. The nurse should caution the family regarding the client's behavior because this could indicate:
1. total remission of the disease process.
2. final surprising rally before retreating.
3. the client is cured of the terminal illness.
4. the client was misdiagnosed.
2
Nurses should prepare the family of a terminally ill client for an occasional final surprising rally in which the client becomes temporarily more alert and responsive before retreating. The period of alertness does not indicate total remission of the disease process, the client's being cured of the terminal illness, or the client's being misdiagnosed.
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An elderly patient in the intensive care unit seems to be becoming agitated. She points to the wall and states, "The people in that picture are moving. That doesn't make sense, I know, but they are. Something is wrong here."
Which of the following nursing interventions would be most beneficial for this patient? a. Place large clocks and calendars on the wall of the patient's room. b. Have personal belongings brought from home and placed in full view. c. Remove the picture, and make sure the patient wears her glasses. d. Keep the window blinds closed to prevent glare and overstimulation.
A nurse discussing the establishment of today's advanced nurse practitioner role would discuss which factor as the primary driving force?
1. The physician shortage of the late 1960s 2. The need for providers to work in primary care settings 3. The need for more rural health care by qualified providers 4. The refusal of physicians to see rural patients
The nurse is administering oxytocin (Pitocin). Which situation is an indication for the use of oxytocin?
a. Decreased fetal heart rate and movements b. Stimulation of contractions during labor c. Cervical ripening near term in pregnant patients d. To reverse premature onset of labor
Inside most bones is a spongy type of tissue called ________.
Fill in the blank(s) with the appropriate word(s).