A nurse is caring for a patient who has been diagnosed with end-stage liver cancer.
Which statement by the patient indicates that the patient is in the denial phase of the grief process?

“Even though I am not hurting right now, I don’t feel like I have the energy to get out of bed.”.

“The doctor has been so good to me. I know he has tried everything he can. It is just my time.”.

“The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication.”.

“I can’t believe that doctor graduated from medical school. He doesn’t know a thing about treating cancer.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale
This statement indicates fatigue and lack of energy, which are common symptoms in patients with end-stage liver cancer. However, it does not necessarily indicate denial.
Choice B rationale

This statement suggests acceptance rather than denial. The patient acknowledges the doctor’s efforts and seems to accept their own mortality.
Choice C rationale
This statement indicates denial. The patient is dismissing the doctor’s prognosis and expressing disbelief about the severity of their condition.
Choice D rationale
This statement suggests anger or frustration towards the doctor, but it does not necessarily indicate denial.

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Correct Answer is A

Explanation

Choice A rationale
The most common position for administering an enema is the left lateral position, where the patient lies on their left side with their right leg flexed toward their chest. This position allows for the best flow of the enema solution by gravity along the natural curves of the sigmoid colon and rectum.
Choice B rationale
Position B is not typically recommended for enema administration.
Choice C rationale
Position C is not typically recommended for enema administration.
Choice D rationale
Position D is not typically recommended for enema administration

A. The sclera B. Nail beds C. Periumbilical area D. Webbed areas of the fingers .

Correct Answer is A

Explanation

Choice A rationale
Jaundice, a common symptom of cholecystitis, is a yellow discoloration of the skin and whites of the eyes (sclera) caused by an excess of bilirubin in the blood. The sclera is often the first place where jaundice is noticeable because the high amount of elastin in the sclera binds to bilirubin, causing a yellowish discoloration.
Choice B rationale
While nail beds can sometimes show signs of certain health issues, they are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice C rationale
The periumbilical area (around the belly button) is not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice D rationale

The webbed areas of the fingers are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.

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A nurse is caring for a patient who has been diagnosed with end-stage liver cancer. Which statement by the patient indicates that the patient is in the denial phase of the grief process?

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer a soapsuds enema to a client. Which position should the client be in to administer the enema?

Correct Answer is A

Explanation

A nurse is collecting data from a patient who is African American and has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

Correct Answer is A

Explanation

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A nurse is caring for a patient who has been diagnosed with end-stage liver cancer.
Which statement by the patient indicates that the patient is in the denial phase of the grief process?