A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process?
offer to take pictures of the newborn for the client
Assure the client that she can have additional children
Avoid talking to the client about the newbornrn
Discourage the client from allowing friends to see the newbornn
The Correct Answer is A
Choice A reason:
Offer to take pictures of the newborn for the client is the right choice, During the initial grieving process after experiencing a stillbirth, the nurse should offer to take pictures of the newborn for the client if the client wishes. Offering to take pictures is an essential and sensitive way to honour and validate the client's experience and the significance of their baby. It allows the client to have tangible memories of their child, which can be important for the grieving process and help in the healing journey.
It is crucial for the nurse to be supportive and compassionate during this time, respecting the client's emotional needs and preferences. Providing emotional support and empathy are critical components of caring for a client who has experienced the loss of a baby.
Choice B reason:
Assure the client that she can have additional children is not correct. While this statement may be well-intentioned, it may not be appropriate during the initial grieving process. The client may not be emotionally ready to discuss future pregnancies, and such assurances might minimize the significance of the loss they are experiencing. It is essential to be sensitive and refrain from making assumptions about the client's feelings or future plans.
Choice C reason:
Avoid talking to the client about the newborn. Avoiding talking to the client about the newborn may be seen as disregarding their feelings and emotions. Instead, it is essential to provide opportunities for the client to talk about their feelings and the baby if they wish to do so. Creating an environment where the client feels comfortable expressing their emotions can be crucial in the grieving process.
Choice D reason
Discouraging the client from allowing friends to see the newborn It is not appropriate for the nurse to discourage or prevent the client from allowing friends to see the newborn if they wish to do so. Grieving is a highly individual process, and some clients may find comfort and support in sharing their grief with loved ones. The nurse should respect the client's decisions regarding who they want to involve in their grieving process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Obtain the specimen from the retention port. This is because the retention port is a sterile site that can be accessed by a syringe to aspirate urine without contaminating the specimen or the closed drainage system. The retention port should be cleaned with an alcohol swab before inserting the syringe. The specimen should be transferred to a sterile container and labeled appropriately.
Choice A is wrong because unclamping the collection port below the bag would allow urine to flow out of the bag, which is not sterile and may contain bacteria or sediment. Choice C is wrong because disconnecting the catheter from the collection tubing would break the closed drainage system and increase the risk of infection. Choice D is wrong because using the balloon port to obtain the sterile specimen would deflate the balloon that holds the catheter in place and cause trauma to the bladder wall.
Normal ranges for urine characteristics vary depending on the type of analysis, but some general parameters are:
- Color: pale yellow to amber
- Clarity: clear or slightly cloudy
- Odor: faint aromatic
- pH: 4.5 to 8.0
- Specific gravity: 1.005 to 1.030
- Protein: <150 mg/24 hr
- Glucose: negative
- Ketones: negative
- Blood: negative
- Nitrites: negative
- Leukocyte esterase: negative
- Bacteria: <10,000 CFU/mL
Correct Answer is D
Explanation
Choice A reason
Abdomen area is not appropriate: Assessing skin turgor on the abdomen is not commonly performed. The abdomen may not be the most accurate site for assessing skin turgor, especially in older adults, as it can be influenced by factors such as body fat distribution.
Choice B reason:
Shoulder are is not appropriate: The shoulder is not a typical site for assessing skin turgor. It is generally not used for this purpose, as it may not provide reliable results
Choice C reason:
Stomach is not the correct answer.: Assessing skin turgor on the stomach is also not commonly performed. The abdomen or stomach may not be the most accurate site for assessing skin turgor, especially in older adults.
Choice D reason
When assessing skin turgor in an older adult client, the nurse should lift the skin on the neck to evaluate its elasticity and hydration status. Skin turgor is a measure of skin's elasticity and is commonly used as an indicator of hydration in both adults and older adults.
To assess skin turgor, the nurse will gently pinch a small amount of skin on the back of the client's hand or the front of the chest (sternum). However, since the options listed do not include these areas, the closest alternative for an older adult would be the neck.
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