A female client with a terminal illness is experiencing a phase ...

[hbsimmons88]

A female client with a terminal illness is experiencing a phase of depression and decreased self- esteem. How should the nurse help her to cope with this situation?
 
  A) Suggest going for walks by herself.
  B) Suggest gradual participation in group activities.
  C) Recommend activities that the client is comfortable performing in the room.
  D) Suggest the client talk with the primary care provider about coping strategies.

Question 2

The nurse is following the emergency protocol when dealing with a client in anaphylactic shock. Which of the following is a step in this protocol?
 
  A) Administer antibiotics.
  B) Place an endotracheal tube, if needed.
  C) Place the client in a prone position.
  D) Do not administer CPR.

[kescobar@64]

Answer to Question 1

B
Feedback:
The nurse should suggest that the client gradually participate in group activities because this will give her an opportunity to express her feelings and talk about pain with others who can relate to it. The client should exercise or go for walks with a group of friends or family. The nurse should not recommend activities in the room that the client is comfortable performing, which means the client would be involved in an activity by herself, or that she should wait to talk with the physician about coping strategies. Support groups enable the client to express her feelings, receive suggestions to handle the situation, and obtain vocational counseling.

Answer to Question 2

B
Feedback:
The nurse would follow the emergency protocol when dealing with anaphylaxis: (1) Administer medicationsepinephr ine, aminophylline, antihistamines, and corticosteroids are the drugs of choice; (2) breathing (open the airway)this may require an endotracheal tube, oxygen, or suction. A tracheostomy may be needed.
(3) Circulationintraven ous fluids, placing the client in Trendelenburg position, or initiating cardiopulmonary resuscitation may be necessary to support circulation.