Answer to Question 1
C
C and A. If abdominal cramping or pain develops, slow the infusion.
B. Lower container or clamp tubing if client complains of cramping or if fluid escapes around rectal tube.
D. An enema is given in the Sims' position.
Answer to Question 2
B
B. According to Kbler-Ross, the client is in the denial stage of dying. The client may act as though nothing has happened, may refuse to believe or understand that a loss has occurred, and may seem stunned, as though it is unreal or difficult to believe.
A. No stage of anxiety is found in Kbler-Ross's five stages of dying.
C. No stage of confrontation is found in Kbler-Ross's five stages of dying.
D. During depression, the individual may feel overwhelmingly lonely and withdraw from interpersonal interaction.