The brother of a terminally ill patient states, I'll donate a ...

[lidoalex]

The brother of a terminally ill patient states, I'll donate a million dollars to the hospital if they cure my brother. The nurse realizes this statement indicates which phase of Kbler-Ross's stages of loss?
 
  1. bargaining
  2. denial
  3. anger
  4. acceptance

Question 2

While the nurse is assisting a patient recovering from epidural anesthesia to ambulate, the patient becomes dizzy and has a blood pressure of 78/48 mmHg. What actions should the nurse take?
 
  Select all that apply.
  1. Notify the anesthesiologist.
  2. Notify the pharmacy to obtain atropine.
  3. Continuously monitor blood pressure.
  4. Prepare to administer intravenous fluids.
  5. Prepare to administer vasoactive medications.

[manuelcastillo]

Answer to Question 1

Correct Answer: 1
Bargaining is an attempt to postpone or in some way affect the reality of the loss. The brother is not expressing denial or acceptance and does not appear to be angry.

Answer to Question 2

Correct Answer: 1, 3, 4, 5

Hypotension is common with epidural. Blood pressure should be monitored and, if critical hypotension occurs, the anesthesia provider should be alerted and expected to increase intravenous fluids and administer vasoactive medications. Atropine is not indicated in the treatment of this adverse effect of epidural anesthesia.