The pediatric nurse is having a conversation with parents who ...

[kamilo84]

The pediatric nurse is having a conversation with parents who have children that have recently passed away. The nurse knows the parents understand the difference between bereavement and grief when the participants state:
 
  1. I am trying to prepare for my daughter's death, but I just am not ready to do so..
   2. Bereavement has caused me to experience sorrow for the loss of my daughter..
   3. I can't believe my daughter is gone..
   4. If I make a deal that God takes me, then my daughter could come back to my family..

Question 2

The priority nursing assessment in a child with acute renal failure should be:
 
  1. Heart rate.
   2. Calculating the urine output per hour.
   3. Monitoring blood pressure.
   4. Assessing for edema.

[JaynaD87]

Answer to Question 1

2
Feedback
1. The parents are stating anticipatory grief.
2. The parents are stating bereavement.
3. The parents are in the denial phase of grieving.
4. The parents are bargaining.

Answer to Question 2

3
Feedback
1. The heart rate increases are a concern, but the rapidly changing blood pressure is the priority.
2. Maintaining strict I/O is important for the measuring of edema, but this takes several hours. The blood pressure changes rapidly and can cause major issues.
3. Blood pressure can change rapidly in ARF, causing a hypertension crisis.
4. Edema should be monitored, but it changes gradually, unlike blood pressure.