A patient who has been diagnosed with inoperable lung cancer and has a poor prognosis plans a trip across the country "to settle some issues with sisters and brothers."
The nurse recognizes that the patient is manifesting which psychosocial response to death?
a. Restlessness
b. Yearning and protest
c. Anxiety about unfinished business
d. Fear of the meaninglessness of one's life
ANS: C
The patient's statement indicates that there is some unfinished family business that the patient would like to address before dying. Restlessness is frequently a behavior associated with an inability to express emotional or physical distress, but this patient does not express distress and is able to communicate clearly. There is no indication that the patient is protesting the prognosis, or that there is any fear that the patient's life has been meaningless.
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A patient has had an alkali splash causing burns to the right upper extremity and the right side of the face. Which intervention by the nurse is a priority?
A) Obtain a health history. B) Irrigate with water to the burned area. C) Apply an antibiotic cream. D) Start an intravenous line (IV) of normal saline at 10 mL/hr.
"Dose desired / dose on hand = dose administered" is the formula for calculating the dose to be administered. Under which of the following circumstances is this to be used?
A) When the physician is not available to calculate the dosage B) When the dosage is written in the apothecary system C) When the dose desired and dose on hand are in the same system D) When the label of the drug is in the metric system
Which reports describe behaviors that meets the criteria for a diagnosis of binge eating? Select all that apply
a. Sister reports, "She is so sad after she finishes." b. Claims, "I can't control myself when I get that way." c. The patient reports, "making myself vomit" at least twice a week. d. Mother reports seeing the patient, "eat entire loaf of bread for lunch." e. Maintains that, "I look okay now but I do this so I don't gain any weight."
Within the first 2 days after central venous line insertion, the nurse is alert to the possibility of a pneumothorax. The nurse observes the client for:
A. Dizziness and restlessness B. Shortness of breath and chest pain C. Malaise, elevated white count D. Decreased level of consciousness and chills