The ability of an individual to cope with death is dependent upon a number of factors. Which person likely has the most difficulty coping with a death?

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Question 1 of 5

The ability of an individual to cope with death is dependent upon a number of factors. Which person likely has the most difficulty coping with a death?

Correct Answer: A

Rationale: The correct answer is A because losing a child is considered one of the most devastating experiences a person can face, regardless of the circumstances. The sudden death of a young person on the brink of adulthood adds layers of complexity and emotional pain. The loss of potential, unfulfilled dreams, and the traumatic nature of the accident all contribute to the intense grief and difficulty in coping. Choice B is incorrect because while the child may experience grief and confusion, the emotional impact is typically less compared to losing a child. Choice C is incorrect as the relationship with the alcoholic spouse may have been strained due to addiction, potentially lessening the emotional attachment. Choice D is incorrect as the grandparent may experience grief over the loss of their grandchild, but the intensity is generally lower than losing a child directly.

Question 2 of 5

To administer a soap-suds enema to an adult before abdominal surgery, the nurse should:

Correct Answer: C

Rationale: The correct answer is C because raising the fluid container 12-18 inches above the patient's anus ensures a slow, controlled flow of the enema solution into the rectum, allowing for proper cleansing without causing discomfort or injury. This height creates enough pressure to facilitate the flow but prevents excessive pressure that could lead to bowel perforation. Choice A is incorrect because cold water can cause discomfort and cramping, while warm water is recommended for its soothing effect. Choice B is incorrect as the rectal tube should be inserted 3-4 inches into the rectum to ensure proper administration. Choice D is incorrect as removing and reinserting the rectal tube multiple times can disrupt the flow and increase the risk of introducing air into the rectum.

Question 3 of 5

Which of the following is an appropriate nursing intervention for a client wearing anti-embolic stockings?

Correct Answer: A

Rationale: Correct Answer: A - Measure the legs before applying stockings to assure proper fit. Rationale: Proper fit is crucial for the effectiveness of anti-embolic stockings. Measuring the legs ensures a snug but not too tight fit, promoting circulation without causing discomfort or complications. This step helps prevent skin breakdown, nerve compression, and circulation issues. Summary of Incorrect Choices: B: Applying the stockings while the client is sitting in a chair - This is incorrect as stockings should be applied when the client is lying down with legs elevated to reduce swelling and make application easier. C: Massage the legs when removing the stockings - Massaging the legs can dislodge blood clots, which is dangerous for clients wearing anti-embolic stockings. D: Leave the stockings in place for one week intervals - Stockings should be regularly removed and washed to maintain hygiene and prevent skin irritation or infections. Leaving them on for a week can lead to complications.

Question 4 of 5

A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse should provide which instruction?

Correct Answer: B

Rationale: The correct answer is B: Increase your fluid intake to 2 to 3 L per day. This instruction is important after extracorporeal shock wave lithotripsy to help flush out the stone fragments and prevent urinary tract infections. Increasing fluid intake also helps prevent dehydration and promotes kidney function. A: Taking temperature every 4 hours is not necessary post-lithotripsy unless the client develops signs of infection. C: Applying an antibacterial dressing daily is not typically required after lithotripsy unless specifically instructed by the healthcare provider. D: Urine turning cherry red after lithotripsy is due to blood in the urine, which is expected, but this should resolve within 24-48 hours, not 5 to 7 days.

Question 5 of 5

The client is scheduled for an intravenous pyelograph (IVP) to determine the location of the renal calculi. Which of the following measures would be most important for the nurse to include in pretest preparation?

Correct Answer: C

Rationale: The correct answer is C: Checking the client's history for allergy to iodine. This is crucial for IVP as iodine contrast dye is used, and an allergic reaction can occur. It is important to identify any potential allergies beforehand to prevent a serious reaction during the test. A: Ensuring adequate fluid intake on the day of the test - While hydration is important, it is not the most critical factor in pretest preparation for IVP. B: Preparing the client for the possibility of bladder spasms during the test - While informing the client about possible discomfort is important, it is not as essential as identifying allergies to iodine. D: Determining when the client last had a bowel movement - Bowel movement history is not directly related to the IVP procedure and is not as critical as checking for iodine allergy.

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