A nurse is planning to use the nursing process to care for a client who is experiencing grief.
Which of the following actions should the nurse take first?

Establish whether the client's grieving is healthy or complicated.

Develop client-specific goals and outcomes.

Incorporate the treatment into the client's care.

Determine whether coping strategies were successful.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Establishing whether the client's grieving is healthy or complicated is the first step in the nursing process when caring for a client experiencing grief. This step falls under the assessment phase of the nursing process and is essential for understanding the client's needs and planning appropriate care.

Choice B rationale:

Developing client-specific goals and outcomes comes after the assessment phase in the planning stage of the nursing process. While important, it is not the first action the nurse should take in this situation.

Choice C rationale:

Incorporating the treatment into the client's care occurs during the implementation phase of the nursing process and follows assessment and planning. This is not the first action.

Choice D rationale:

Determining whether coping strategies were successful is part of the evaluation phase of the nursing process, which occurs after the implementation of care. It is not the first step in this situation. Now, let's proceed to the final question.

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Correct Answer is A

Explanation

Choice B rationale:

Acute pain is typically associated with a sudden injury or condition, and it is usually short-term and self-limiting. Phantom limb pain is a chronic condition that is often neuropathic in nature.

Choice C rationale:

Cancer pain is generally associated with the presence of a tumor or cancer-related treatment. Phantom limb pain is not directly related to cancer.

Choice D rationale:

Chronic pain is a broad category that includes various types of long-lasting pain, but in the case of phantom limb pain, it is specifically neuropathic in nature. Neuropathic pain originates from damage or dysfunction of the nervous system and is a common characteristic of phantom limb pain. .

A. Discard the client's last void at the end of the collection time period. B. Include toilet paper with the collected urine. C. Save the first void at the start of the collection time period. D. Refrigerate the urine during the collection time period.

Correct Answer is D

Explanation

Choice A rationale:

Discard the client's last void at the end of the collection time period. This choice is not appropriate. When conducting a 24-hour urine collection, it's essential to include all urine produced during the specified time frame. Discarding the last void would result in an incomplete and inaccurate collection.

Choice B rationale:

Include toilet paper with the collected urine. This choice is also incorrect. Toilet paper is not typically included in a 24-hour urine collection. The purpose of this collection is to accurately measure substances excreted by the kidneys over a specific time period. Toilet paper is not part of this measurement and should not be included.

Choice D rationale:

This helps prevent the breakdown of certain substances and ensures the sample's accuracy. Failure to refrigerate the urine can lead to inaccurate test results. Now, let's discuss the rationale for the correct answer, choice C:

Choice C rationale:

The first void at the beginning of the collection period is typically discarded, as it represents the urine that was in the bladder before the timed collection started. This helps ensure that the collection is accurate and only includes urine produced during the specified 24-hour period. It's important to follow this protocol to obtain reliable test results.

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A nurse is planning to use the nursing process to care for a client who is experiencing grief.Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has phantom limb pain.The nurse should identify the client is experiencing which type of pain?

Correct Answer is A

Explanation

A nurse is preparing to obtain a 24-hr urine collection from a client. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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A nurse is planning to use the nursing process to care for a client who is experiencing grief.
Which of the following actions should the nurse take first?