Mr. Jackson is terminally ill with metastatic cancer of the colon. His family notices that he is suddenly more focused and coherent. They are questioning whether he is really going to die
The nurse recognizes that a sudden surge of activity may occur
a. Moments before death
b. Days to hours before death
c. 1 to 2 weeks before death
d. 1 to 3 months before death
B
Days to hours before death, patients commonly experience a surge of energy that brings mental clarity and a desire to speak with family. One to 3 months before death, the dying person begins to withdraw from the world by sleeping more and eating less. One to 2 weeks before death, the body loses its ability to maintain itself, and body systems begin to deteriorate. Near the time of death, the dying person does not respond to touch or sound and cannot be awakened.
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A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?
a. The initial site dressing is 3 days old. b. The PICC was inserted 4 weeks ago. c. A securement device is absent. d. Upper extremity swelling is noted.
A client recently diagnosed with systemic lupus erythematosus (SLE) is in the clinic for a follow-up visit. The nurse evaluates that the client practices good self-care when the client makes which statement?
a. "I always wear long sleeves, pants, and a hat when outdoors." b. "I try not to use cosmetics that contain any type of sunblock." c. "Since I tend to sweat a lot, I use a lot of baby powder." d. "Since I can't be exposed to the sun, I have been using a tanning bed."
The nurse accepts a new job at a facility that uses the functional nursing method, and recognizes that means the nurse will most likely:
1. Have the same assigned clients to care for each day. 2. Be assigned specific tasks to do during the shift. 3. Work with the same group of staff each day. 4. Be assigned to work whatever shift is required.
A nurse is to remove an interrupted suture from an incision site. After the site has been cleansed, which of these steps is correct?
a. Use forceps to grasp the middle of the suture, cut it, and pull either end. b. Use forceps to grasp the suture near the knot, place the curved edge of the scissors under the suture and cut close to the skin, and pull the long end to remove. c. Use forceps to grasp every other suture, cut each with the curved edge of the scissors down, and pull the short end to remove. d. Grasp the knot of the suture, cut with the scissors in a position of comfort, and pull either end.