A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?

A. Chronic drainage of fluid through the incision site:
While chronic drainage of fluid through the incision site can be a sign of wound complications, such as infection or poor wound healing, it is not as specific an indicator of impending wound dehiscence as the patient's report of "something giving way."

B. Report by patient that something has given way:
A patient reporting that something has given way is a significant indicator of potential wound dehiscence. Wound dehiscence refers to the partial or complete separation of the layers of a surgical wound, which can occur due to various factors such as poor wound healing, infection, or increased intra-abdominal pressure. Patients may describe a sensation of "something giving way" or "popping" if the wound starts to separate.

C. Drainage that is odorous and purulent:
Odorous and purulent drainage from an incision site may indicate an infection, which can contribute to wound dehiscence. However, this finding alone may not necessarily indicate immediate wound dehiscence.

D. Protrusion of visceral organs through a wound opening:
Protrusion of visceral organs through a wound opening is a severe complication known as evisceration, which is the most advanced stage of wound dehiscence. While this finding is indicative of a significant wound complication, it typically occurs after the initial separation of wound layers. Therefore, it is not an early sign that would alert the nurse to potential wound dehiscence

A) Viral infection:
Chronic stress can suppress the immune system, making individuals more susceptible to infections, including viral infections. Prolonged stress can dysregulate the immune response, leading to increased vulnerability to various illnesses.

B) Increased cognitive awareness:
Chronic stress often impairs cognitive function rather than enhancing it. It can lead to difficulties with concentration, memory problems, and cognitive fatigue due to the continuous activation of the body's stress response system.

C) Hypotension:
Chronic stress typically leads to increased blood pressure rather than hypotension. Stress activates the sympathetic nervous system, resulting in the release of stress hormones like cortisol and adrenaline, which can elevate blood pressure over time.

D) Increased energy:
While acute stress can trigger a temporary surge in energy due to the release of stress hormones, chronic stress often leads to fatigue and exhaustion. Prolonged activation of the stress response system can deplete energy reserves and disrupt sleep patterns, resulting in feelings of fatigue and lethargy.