A nurse is caring for a client who has both visual and hearing deficits. What would be the nurse’s highest priority concern when planning for discharge needs?

A nurse is caring for a client who is in the process of dying.   Vital Signs 0800 Temperature 35.3* C (95.5*F) Heart Rate 35/min Respiratory rate irregular  Blood pressure 62/38 mm Hg 1200 Temperature 34.7* C (94.5* F) Heart Rate 25/min Respiratory rate irregular with Cheyne-Stokes respiration  Blood pressure 52mm Hg palpated  Nurses’ Notes 0800 Client does not arouse to verbal, tactile, or painful stimulation.  Heart rate 35/min, irregular.  Pulses to extremities nonpalpable, skin cool to touch with pallor and mottling.  Cheyne-stokes breathing, noisy respirations with copious secretions.  Indwelling urinary catheter in place, 10mL dark urine output.  Decreased muscle tone noted.  Client moaning.  Medicated with morphine 4mg IV bolus.  Client has a do-not-resuscitate order in place.  Family at bedside.  Update on client’s condition provided.  What symptom indicates death is nearing [Blank-1] and name one clinical confirmation of death [Blank-2].   When typing in your words do not put a space.  Type it exacty as it shows in the wordbank.  Select words from the Red Word bank for the first blank and words from the Blue Word bank for the second blank.   WORD BANK FOR FIRST BLANK                                                  WORD BANK FOR SECOND BLANK  Moaning                                                                                               ActiveReflexes StrongPulses                                                                                      FlatBrainWaves IncreaseUrine                                                                                     SlowBreathing Cheynestokes                                                                                     PainResponses                                                                                       _______ _______

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which response by the client is an indication the client is in the denial phase of the grief process?

A child is mentally preparing for the death of their parent. What is the term for this mental preparation?

A client admitted to the intensive care unit following a motor vehicle accident is at risk for what type of sensory alteration?

A client is admitted to the emergency department with a urinary tract infection. The nurse needs to provide medication education to the client who does not speak the dominant language. Which strategy will the nurse utilize to provide accurate and effective patient education?

Which population has a decrease in nutritional needs?

Which entry would be an example of appropriate documentation?

What are Nurse Practice Acts?

The nurse enters a client’s room and observes that the client is hunched over and appears to be breathing rapidly. What type of question should the nurse first ask the client in this interaction?