A 4yo's sibling has died. even though she was told her sibling is dead, the child keeps asking when she will come back. the pediatric nurse knows this is an example of which item?
a. state of denial
b. memory loss caused by stress
c. developmental approach to death
d. severe psychopathology
c. developmental approach to death
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A client has received testing for human immunodeficiency virus (HIV). The client's results of two enzyme-linked immunosorbent assay (ELISA) tests have been positive. In explaining the next step, the nurse's response is based on the understanding that:
a. the client will have a bone marrow biopsy to confirm the diagnosis b. a Western blot test will be done to confirm the diagnosis c. a CD4+ cell count will be obtained to measure T-helper lymphocytes d. the client will be diagnosed as HIV-positive and begin medical treatment
Neuman's theory includes an accordion-like mechanism that protects the normal line of defense. This mechanism is called
A. The accordion line of defense B. The defense line buffer C. The flexible line of defense D. The stressor defense line
Appropriate nursing interventions for the application of erythromycin ophthalmic ointment (Ilotycin) include which of the following?
1. Massaging eyelids gently following application 2. Irrigating eyes after instillation 3. Using a syringe to apply ointment 4. Instillation is in the upper conjunctival surface of each eye
If a patient who has fallen down a flight of steps has a low body temperature, low blood pressure, and high blood glucose levels, he or she is probably
a. in the initial injury (ebb) phase. b. in the recovery (flow) phase. c. developing a serious infection. d. developing multiple organ dysfunction syndrome (MODS).