A client has been asked to undergo a series of diagnostic tests following a routine blood test that indicates leukemia. The client refuses to believe the diagnosis and has asked for a second opinion on two separate occasions
Which of the stages of death is the client most likely going through? A) Denial
B) Anger
C) Bargaining
D) Depression
A
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The client is going through the denial stage, refusing to believe the diagnosis and hoping there is a mistake in the reports. Anger is the second stage of death, in which the client retaliates by displacing his anger on his caregivers, health care professionals, or even God. Bargaining is the third stage. This is a psychological mechanism for delaying the inevitable; this stage involves a process of negotiation, usually with God or some other higher power. Depression is the fourth stage; this is a result of confronting potential losses.
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Order: 500 mL of 50% dextrose in 10 hours How many kcal will the client receive? _____
a. 25 b. 250 c. 1,000 d. 225
When the licensed practical nurse (LPN) manager is involved in building and maintaining a team, the LPN usually works with:
1. the registered nurse (RN). 2. the physician. 3. the administrator. 4. other LPNs.
The patient is on intake and output (I&O) as well as daily weights. The nurse notes that output is considerably less than intake over the last shift, and daily weight is 1 kg more than yesterday. The nurse should:
a. draw a trough level after the next dose of antibiotic. b. obtain an order to place the patient on fluid restriction. c. assess the patient's lungs. d. insert an indwelling catheter.
The nurse is caring for an older patient. Which age-related change increases this patient's risk for residual air volume in the lungs?
A. Elasticity of lungs decreases with age. B. There is a tightening of the diaphragm with age. C. Older adults have a more rapid respiratory rate. D. Intercostal muscles become weaker with age.