The nurse is caring for a client who has end-stage renal disease. The client's child is present and tells the nurse about fears that the disease will soon progress to death. What type of grieving does the nurse identify in the client's child's response?

Anticipatory

Situational

Coping

Hope

Answer and Explanation

The Correct Answer is A

A. Anticipatory grieving occurs when family members begin to experience grief before the actual loss, often in response to a terminal illness.
B. Situational refers to a sudden, unexpected loss or crisis, not the expected progression of a chronic illness.
C. Coping describes strategies used to deal with stress but is not a type of grief.
D. Hope is a positive outlook that may exist alongside grief but is not a form of grieving.

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Correct Answer is A

Explanation

A. An increase in blood pressure to 115/76 mmHg indicates improved circulating volume and perfusion, making this the best indicator of fluid status improvement.
B. A heart rate of 106 beats per minute remains elevated (tachycardia), which does not indicate improvement.
C. A temperature of 101°F reflects infection or fever, not hydration status.
D. A respiratory rate of 18 breaths/minute is within normal range but was already normal before fluids, so it is not the best indicator of fluid balance improvement.

A. Monospot test B. MRI of the ear C. Lumbar puncture D. Audiology consult

Correct Answer is D

Explanation

A. A Monospot test is used to detect infectious mononucleosis, which is unrelated to chronic ear infections.

B. MRI is generally reserved for evaluating structural abnormalities, tumors, or complications, not routine chronic otitis media.

C. Lumbar puncture is used to diagnose central nervous system infections or conditions like meningitis, not ear infections.

D. Chronic otitis media can lead to hearing loss or speech delays. An audiology consult is appropriate to assess the child’s hearing and determine if further intervention, such as hearing aids or surgical options, is needed.

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The nurse is caring for a client who has end-stage renal disease. The client's child is present and tells the nurse about fears that the disease will soon progress to death. What type of grieving does the nurse identify in the client's child's response?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with dehydration with vital signs as follows: blood pressure 96/72, heart rate 106, respiration rate of 18 breaths/minute, and temperature of 101F. After receiving intravenous fluids, which assessment finding is the best way to determine improvement in fluid status?

Correct Answer is A

Explanation

The nurse is caring for a child with chronic otitis media infections. Which prescription by the health care provider will the nurse anticipate?

Correct Answer is D

Explanation

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