atient Data

Exhibits

The nurse reviews the H and P and nurses' note.

Complete the diagram by dragging from the choices area to specify which condition the family is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess family coping.

Answer and Explanation

The Correct Answer is []

Potential Condition: Anticipatory Grief

Anticipatory grief occurs before a significant loss, such as a loved one’s death, when the loss is expected. The family in this case is emotional, shocked, and showing signs of distress in response to the impending loss, indicating anticipatory grief rather than complicated or ambiguous grief.

Actions to Take:

Provide information on grief support groups: Giving the family access to community and professional support prepares them to cope during and after the loss.

Encourage and allow the family to express their feelings: Expressing emotions like sadness, anger, or disbelief is part of the grieving process. Validating these emotions helps families process anticipatory grief in a healthy way.

Parameters to Monitor:

Monitor for signs of masked grief: Some family members may suppress emotions, redirect their distress, or act in denial, which could hinder healthy coping and grieving.

Monitor for intense pain responses: These responses can indicate overwhelming or dysfunctional grief that may need additional psychological support or counseling.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Contact the healthcare provider before obtaining the specimen: There is no need to notify the provider unless there is an issue affecting specimen collection. The current stool characteristics do not contraindicate proceeding with the test.

B. Obtain the specimen from the client's current bowel movement: Occult blood tests are designed to detect hidden (non-visible) blood in the stool. A sample can be obtained from any soft, formed stool, even if blood is not visibly present.

C. Withhold specimen collection until tarry black stool is observed: Tarry black stool suggests upper GI bleeding, but occult blood testing is used precisely to detect blood not visible to the eye, including in normal-appearing stool.

D. Wait to obtain the specimen until observable blood is present: Waiting for visible blood defeats the purpose of testing for occult (hidden) blood. The test should be performed on a standard sample regardless of whether blood is seen.

A. Do not allow other activity to interrupt medication administration B. Document all medication as soon as it is given C. Involve and educate clients in medication administration D. Use at least 2 client identifiers before administering a dose E. Question unusually large or small doses F. Double check all dosage calculations

Correct Answer is ["A","C","D","E"]

Explanation

A. Interruptions during medication administration, such as being paged for a rapid response, increase the risk of distraction and error. Medication administration should be completed before attending to other duties when possible, or the process should be restarted safely when interrupted.

B. While documentation is important, it does not prevent a medication error. It is a post-administration task and does not help in ensuring the correct dose or patient before administration.

C. Clients can often identify errors when asked to confirm their medications. For example, the client may have questioned receiving a different dose (800 mg vs. her usual 300 mg).

D. Administering medication to the wrong client is a "wrong-patient" error. Verifying at least two identifiers (e.g., name and date of birth) is a Joint Commission standard and critical to preventing such mistakes.

E. Clindamycin 800 mg is significantly larger than the client’s prescribed 300 mg dose. This discrepancy should have prompted the nurse to verify the order with the provider or pharmacist.

F. While double-checking calculations is crucial when preparing weight-based or custom doses, this situation involved a wrong dose and wrong patient, not a calculation error. The dose was pre-prepared but meant for another patient.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While preparing to obtain a stool specimen for occult blood, the nurse observes that the client's feces is soft, solid, and light brown. Which action should the nurse implement?

Correct Answer is B

Explanation

Patient Data Exhibits Which medication error prevention techniques would have helped to avoid this error? Select all that apply

Correct Answer is ["A","C","D","E"]

Explanation

The nurse is documenting wound care in a client's electronic medical record (EMR) when the computer system shuts down. Which action should the nurse implement first?

The nurse is teaching the unlicensed assistive personnel (UAP) about safety when caring for clients with limited movement. Which action by the UAP indicates to the nurse that the UAP understands the information?

The nurse is caring for a client in the postanesthesia care unit (PACU). To assess the quality of the client's pain, which approach should the nurse use?

A client is in contact isolation due to a stage IV coccyx wound infected with methicillin resistant Stephylococcus aureus (MRSA). The nurse plans interventions to prevent multiple reentries to the client's room. In which order should the nurse perform the interventions?

The nurse is planning care for the elimination needs of a group of clients. The nurse determines a bedpan will be needed for which client?

The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a confused and lethargic client. The UAP is soaking the client's foot in a basin of warm water placed on the bed. Which action should the nurse take?

The electronic medication system alerts the nurse that the medication dose scanned for the client is two times higher than the dose prescribed. Which action should the nurse implement?

To assess a client's dorsalis pedis pulse, the nurse applies firm pressure over the top of the foot between the extension tendons of the great and first toes, but does not feel a pulsation. Which action should the nurse take next?