Which is an important need for a widowed client during the grieving period following the death of the client’s spouse?

Reminiscing about the spouse with significant others.

Self-indulgence in order to fill the emptiness left by the spouse’s death.

Reassurance that the client did all that could be expected for their spouse.

Engagement in activities that will take the client’s mind off the loss of the spouse.

Answer and Explanation

The Correct Answer is A

Reminiscing about the spouse with significant others. This is an important need for a widowed client during the grieving period following the death of the client’s spouse because it helps them process their loss, express their emotions, and honor their memories. Reminiscing can also provide comfort, support, and meaning to the bereaved.

Choice B. Self-indulgence in order to fill the emptiness left by the spouse’s death is wrong because it can be unhealthy, addictive, or harmful to the client’s well-being. Self-indulgence may also prevent the client from coping with their grief in a constructive way.

Choice C. Reassurance that the client did all that could be expected for their spouse is wrong because it may imply that the client is responsible for their spouse’s death or that they could have prevented it.

This may increase the client’s guilt, regret, or self-blame. Reassurance should focus on the client’s strengths, resilience, and coping skills.

Choice D. Engagement in activities that will take the client’s mind off the loss of the spouse is wrong because it may suggest that the client should avoid or deny their grief.

This may interfere with the healing process and lead to unresolved or complicated grief. Engagement in activities should be balanced with time for reflection, mourning, and self-care.

Normal ranges for grief vary depending on the individual, the relationship, and the circumstances of the death. However, some general guidelines are that grief can last from a few months to several years and that it may involve physical and emotional symptoms such as trouble sleeping, loss of appetite, difficulty concentrating, crying, sadness, anger,

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Correct Answer is A

Explanation

Two 4x4 gauze cloths saturated with purulent drainage. This statement provides the best documentation of the amount of wound drainage because it specifies the size and number of gauze cloths, the type and amount of exudate, and the presence of infection

Choice B is wrong because it does not indicate the size or number of dressings, the type or amount of exudate, or the presence of infection.

Choice C is wrong because it does not indicate the size or number of dressings, the type of exudate, or the presence of infection.

Choice D is wrong because it does not indicate the size or number of dressings, the type of exudate, or the presence of infection.

Normal ranges for wound drainage are categorized as scant, minimal, moderate, or large/copious The type of wound drainage can be described as serous, sanguineous, serosanguineous, or purulent

A. Feel the top of the client’s legs. B. Examine area underneath the client. C. Ask the client to cough forcefully. D. Have the client sit up and lean forward.

Correct Answer is B

Explanation

This is essential because drainage from a large abdominal wound may collect under the client and be missed if only the dressing is inspected. The amount, color, and consistency of drainage should be documented and reported to the health care provider.

Choice A is wrong because feeling the top of the client’s legs will not help assess for drainage in a large abdominal wound.

Choice C is wrong because asking the client to cough forcefully may increase the risk of dehiscence (separation of wound edges) or evisceration (protrusion of internal organs through the wound) in a large abdominal wound.

Choice D is wrong because having the client sit up and lean forward may also increase the risk of dehiscence or evisceration in a large abdominal wound.

Normal ranges for wound drainage depend on the type, location, and size of the wound, as well as the stage of healing. Generally, drainage should decrease over time and change from bloody to serous.

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Which is an important need for a widowed client during the grieving period following the death of the client’s spouse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement provides the best documentation of the amount of wound drainage?

Correct Answer is A

Explanation

Which action is essential when assessing for drainage in a client with a large abdominal wound?

Correct Answer is B

Explanation

A client who is taking warfarin has an international normalized ratio (INR) of 0.8. Which question should a nurse ask to further evaluate the client?

A nurse takes actions to avoid liability when caring for a client with a psychiatric disorder. Which action is not appropriate in the prevention of liability?

A nurse assessment of a client diagnosed with an acute loss of consciousness reveals a Glasgow Coma Scale (GCS) of 6. Which nursing diagnosis is the priority?

For a client who is crying and seems agitated after major abdominal surgery, which action should a nurse take to establish a nursing diagnosis of pain related to an abdominal incision?

What pain description is the client with renal calculi most likely to report during an assessment?

The family of a client that has been diagnosed with terminal cancer decided not to inform the client of the prognosis. What is the most appropriate action for a nurse to take when the client repeatedly asks about prognosis?

The nurse evaluates the client hydration status, using what assessment techniques? Select all that apply.