All nurses care for clients who are grieving. It is important for the nurse to understand the grieving process for which reason?

Allows the nurse to express their feelings

Allows for the nurse to facilitate the grieving process

Allows for the nurse to take the client through in the appropriate order

Allows for the nurse to understand when the grieving process should be concluded

Answer and Explanation

The Correct Answer is B

A. Allows the nurse to express their feelings: While nurses may also experience emotional responses, the primary focus in client care is on supporting the client’s grief. Personal expression should not take precedence in the therapeutic relationship.
B. Allows for the nurse to facilitate the grieving process: Understanding the stages and individual nature of grief enables the nurse to provide empathetic, nonjudgmental support. This helps the client process emotions in a healthy way and move through grief at their own pace.
C. Allows for the nurse to take the client through in the appropriate order: Grief is not a linear process. Clients may move back and forth between stages or skip some entirely. The nurse's role is to support, not control or direct the sequence of emotions.
D. Allows for the nurse to understand when the grieving process should be concluded: Grief does not follow a fixed timeline. Expecting it to end by a specific point is unrealistic and may create pressure or invalidate the client’s experience. Compassionate care requires flexibility and patience.

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Correct Answer is D

Explanation

A. Have the client placed in restraints: Restraints should only be used as a last resort when the client poses a danger to themselves or others. They require a provider’s order and must follow strict guidelines. It is not the first step in managing a combative client.
B. Refuse to start the IV: Refusing care delays necessary treatment and does not address the issue of safety. The nurse has a duty to provide care using appropriate support and safety measures.
C. Give the client a sedative prior to starting the IV: Administering a sedative requires a provider's order and should not be done solely for ease of IV insertion. Sedation is not a routine intervention and must be clinically justified.
D. Ask for assistance: Having another trained staff member present increases safety and reduces the risk of needlestick injury. Assistance ensures proper restraint of movement without violating patient rights or safety protocols.

A. Dextromethorphan B. Pseudoephedrine C. Diphenhydramine D. Fluticasone

Correct Answer is A

Explanation

A. Dextromethorphan: Dextromethorphan is an antitussive commonly used to suppress non-productive coughs. It acts on the cough center in the medulla to reduce the frequency and intensity of coughing, making it ideal for nighttime relief.
B. Pseudoephedrine: Pseudoephedrine is a decongestant that reduces nasal congestion by vasoconstriction. It does not suppress cough and can actually cause insomnia due to its stimulant effects, making it inappropriate for nighttime use.
C. Diphenhydramine: Diphenhydramine is an antihistamine that may have mild cough suppressant properties and cause sedation. Its primary action is to block histamine receptors, which is more useful for allergic reactions and related symptoms like runny nose or itching. It's not a direct cough suppressant.
D. Fluticasone: Fluticasone is a corticosteroid typically used as a nasal spray for allergic rhinitis. It is not effective for acute cough relief and has no role in suppressing a dry, nighttime cough.

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All nurses care for clients who are grieving. It is important for the nurse to understand the grieving process for which reason?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to start an IV for a client who is combative. What precautionary measure should the nurse take in order to avoid a needlestick?

Correct Answer is D

Explanation

The nurse is caring for a client with an upper respiratory disorder. The client states they have a hacky, non-productive cough, which wakens them during the night. Which over-the-counter medication would the nurse suggest to diminish the cough during the night?

Correct Answer is A

Explanation

The nurse is preparing to administer digoxin to a client with heart failure. The nurse obtains an apical pulse rate for 1 minute and determines a rate of 52 beats/minute. What is the first action by the nurse?

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