A nurse in a maternity unit is providing emotional support to a ...

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A nurse in a maternity unit is providing emotional support to a patient and her husband who are preparing to be discharged from the hospital after the birth of a stillborn, full-term infant.
 
  Which statement, if made by the patient, indicates a component of the normal grieving process? 1. We would really like to attend a support group..
   2. We are ok. We are going to work on having another baby now..
   3. We never want to have a baby again or talk about our loss..
   4. We are filling out the paperwork to adopt a baby..

Question 2

The dietician is speaking to the nurse about a patient with hemolytic uremic syndrome. Identify the types of food that should be provided for the patient.
 
  1. Peanut butter on wheat toast
   2. Canned chicken noodle soup
   3. Salted pretzels with cheese
   4. Bananas and peanut butter sandwiches

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Answer to Question 1

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1. This is the best answer to demonstrate the normal grieving process, but other answers can be true if people are struggling with the grieving process.
2. The parents are not taking the time to grieve for the child they lost.
3. The parents are making choices at a highly emotional time. The parents should wait to make this decision.
4. The parents are making life decisions too early after the death of their child.

Answer to Question 2

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1. The protein from peanut butter has a higher calorie count and the carbohydrate of wheat toast will not cause electrolyte imbalances because the kidneys will not store excessive amounts from these foods.
2. Canned soup has a higher rate of sodium, putting the patient at risk for hypernatremia.
3. The sodium from the pretzels presents a risk for hypernatremia
4. The patient should not have foods with higher concentrations of potassium, like bananas, because the kidneys will have a buildup, eventually causing cardiac issues.