283 - TRANSITION TO REGISTERED NURSE
PRACTICE - COMP 1/ WEEK 1 - 4 DISCUSSIONS / DR.
BLACKBURN 2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR
GRADES.
What are the 5 stages of grief cancer patients may experience as
noted in the Kubler-Ross model? - correct answer - ✦ Denial -
difficulty believing in an expected or actual loss/terminal dx
✦ Anger - the client directs answer toward the self, others, a diet,
objects, or the current circumstances
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✦ Bargaining - negotiating for more time or a cure
✦ Depression - overwhelmingly saddened by the inability to
change the situation
✦ Acceptance - the client acknowledges what is happening &
plans for the future by moving foward.
The nurse is caring for a client who has just returned from surgery
for a descending colostomy. The nurse plans to include
reinforcement teaching for the client and spouse. Which
statements should the nurse include in the teaching? select all
that apply. - correct answer - ✦ "Stools will become more solid
after a few days"
✦ "A healthy stoma is reddish-pink, moist, and protrudes about 2
cm from the abdominal wall"
✦ "Once the colostomy begins functioning, the bag should be
emptied when it is 1/3 to 1/2 full"
manic phase of bipolar disorder - correct answer - ✦ include:
- flight of ideas
- clang associations
- grandiosity
-**help these patients focus & direct them toward calming
activities in a calm environment.
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-*competitive and/or group activities are NOT appropriate for a
patient in the manic phase!
What are priority nursing actions for patients w/ suspected severe
sepsis? - correct answer - ✦ Early intervention is key to
preventing death when patients develop sepsis.
✦ Pg 765 - Table 37-5 in IGGY details the Sepsis Resuscitation
Bundle
✦ Measure serum lactate levels & obtain blood cultures before
administering a broad-spectrum antibiotic within 3 hours of
suspecting severe sepsis! *continue monitoring lactate levels at
least every 4 hours
✦ Fluid resuscitation is also important, & vasopressors are often
administered within 6 hours of initial indications of suspected
septic shock.
✦ For fluids, normal saline (0.9%) and Lactated Ringer's are
common solutions prescribed, same as w/ hypovolemic shock.
Patients w/ depression are at risk for suicide, which is a concern
especially if the patient has: - correct answer - ✦ Family or
personal history of suicide attempts
✦ Comorbid anxiety disorder or panic attacks
✦ Comorbid substance use disorder or psychosis