An adult client was diagnosed with stage IV lung cancer three weeks ago. The client's spouse approaches the nurse and asks how to know that the spouse's death is imminent because their two adult children want to be there when the client dies. Which is the best response by the nurse?
Explain the client will start to lose consciousness and the body systems will slow down.
Offer to discuss the client's health status with each of the adult children.
Gather information regarding how long it will take for the children to arrive.
Reassure the spouse that the healthcare provider will notify when to call the children.
The Correct Answer is A
A. Explaining the physiological signs of imminent death helps prepare the spouse and family for what to expect, allowing them to gather as needed.
B. While discussing the client’s health status may be supportive, it does not directly address the spouse’s request for understanding signs of impending death.
C. Gathering information about how long it will take for the children to arrive is important but secondary to providing the spouse with information about impending signs of death.
D. While reassuring the spouse is important, it may not provide the immediate information they seek about recognizing the signs of dying.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
Explanation
Hemorrhaging:
The client exhibits signs of excessive vaginal bleeding, as indicated by a boggy fundus and saturated pads and sheets beneath her. The significant blood loss is concerning, especially following a 4th-degree laceration and the recent delivery.
Uterine Atony:
The fundus is noted to be boggy (soft) at multiple assessments, which is a key indicator of uterine atony. This condition is the most common cause of early postpartum hemorrhage and occurs when the uterus fails to contract effectively after delivery, leading to excessive blood loss.
Correct Answer is ["18"]
Explanation
To determine the infusion rate in mL/hr, you can use the following formula: (Desired Dose (units/hr) / Concentration of drug in IV bag (units/mL)) = Infusion rate (mL/hr). For the given prescription of heparin 900 units/hr, and an IV bag containing 25,000 units of heparin in 500 mL of solution, the concentration is 25,000 units / 500 mL = 50 units/mL. Using the formula: 900 units/hr / 50 units/mL = 18 mL/hr.
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