A nurse in a provider's office is collecting data from a client one month following surgery for a new colostomy. Which of the following statements indicates the client is in the acceptance stage of grieving?
"I have purchased a stoma cap I can use when needed."
"My partner empties my pouch for me every morning."
"I am embarrassed by the odor that comes from my colostomy."
"I miss going to my church meetings like I used to do."
The Correct Answer is A
Choice A reason: This statement reflects acceptance as the client is taking proactive steps to manage their colostomy independently, which is indicative of adapting to the change in body function.
Choice B reason: While having a partner's support is beneficial, this statement does not necessarily indicate acceptance. It could suggest reliance on others rather than selfcare and acceptance.
Choice C reason: Feeling embarrassed by the colostomy's odor suggests that the client is still struggling with the social implications of their condition, which is not indicative of the acceptance stage.
Choice D reason: Expressing a sense of loss about previous activities, such as attending church meetings, indicates that the client may be in the earlier stages of grieving, such as denial or bargaining, rather than acceptance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A. Respiratory rate
Reason: After thoracentesis, it's crucial to monitor the patient's respiratory rate. An increased respiratory rate could indicate respiratory distress. In this case, the respiratory rate is 26/min, which is higher than the normal range (12-20 breaths per minute for an adult at rest). Therefore, the nurse should notify the provider about this finding.
Choice B. Blood pressure
Reason: The blood pressure of the patient is 110/76 mm Hg, which falls within the normal range (90/60 mm Hg to 120/80 mm Hg). Therefore, there is no need for the nurse to notify the provider about the patient's blood pressure.
Choice C. Hematocrit
Reason: The hematocrit level is 43%, which is within the normal range (38.8% to 50.0% for males, and 34.9% to 44.5% for females). Therefore, there is no need for the nurse to notify the provider about the patient's hematocrit level².
Choice D. PCO2
Reason: The PCO2 level is 37 mm Hg, which is within the normal range (35 to 45 mm Hg). Therefore, there is no need for the nurse to notify the provider about the patient's PCO2 level.
Correct Answer is B
Explanation
Choice A reason: Weight loss is a concern but not as immediately life-threatening as an elevated temperature, which can indicate infection.
Choice B reason: An elevated temperature in a client with leukemia is a critical finding due to the risk of infection in an immunocompromised individual.
Choice C reason: Fatigue is a common symptom of leukemia but not as urgent as a fever.
Choice D reason: Dysuria is a concern but does not take precedence over a potential infection indicated by a fever.
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