A dying client is crying.
She states, "Why me, Lord" and can't pray.
What would be the most appropriate nursing diagnosis based on this data?

Choice A rationale

Locked-in syndrome is a rare neurological disorder characterized by complete paralysis of all voluntary muscles except for those that control eye movement. The client's reported symptoms of drowsiness, irritability, and decreased attention span do not align with the typical presentation of locked-in syndrome, where cognitive function remains largely intact.

Choice B rationale

Sensory deprivation occurs when there is a reduction in sensory input, leading to various psychological and physiological effects. The client's recent loss of regular visits from her daughter and family, coupled with the reported symptoms of drowsiness, excessive sleeping, decreased attention span, irritability, and signs of depression, strongly suggest sensory deprivation as a contributing factor due to reduced social interaction and stimulation.

Choice C rationale

Residential psychosis is not a recognized or well-defined psychological or psychiatric term. Therefore, it is not an appropriate diagnosis for the client's symptoms.

Choice D rationale

Disturbed sensory perception involves alterations in the processing of sensory stimuli, such as hallucinations or delusions. While the client exhibits changes in her mental state, the reported symptoms are more indicative of a lack of sensory input and social interaction rather than distorted sensory processing.

Step 1: Identify the desired dose: 165 mg.

Step 2: Identify the concentration of the medication: 105 mg in 5 mL.

Step 3: Set up a proportion to find the required volume (x mL):
105 mg / 5 mL = 165 mg / x mL

Step 4: Solve for x:
105 × x = 165 × 5

Step 5:
105x = 825

Step 6:
x = 825 ÷ 105

Step 7:
x ≈ 7.857 mL

Final Answer: The nurse should give approximately 7.9 mL.