Question

D What the client ate at the meal beee the blod drew A ear old man comes into the energency departmet ED by abulance amall carper in his home The patient fell on tos hip with a ater slipping on ohant frcnre He is alert and oriented, PERLA intact. His heart rate elevated, he is ansious and thinsty, a Foley catheter is placed, and 40 mt of urime is t What is the murse's most likely explanation for the urine outpur? A The man urinated prior to his arrival to the ED and will probably not need to have the Foley catheter kept in place B. The man has a brain injury, lacks ADH, and needs vasopressin C. The man is in heart failure and is releasing atrial natriuretic peptide that results in decreased urine output D. He is having a sympathetic reaction, has stimulated the renin-angiotensin- aldosterone system that results in diminished urine output 410. Research has identified the key processes of mourning. What are they? (Mark all that apply) A. Anger at the deceased B. Reinvestment C. Re-experiencing the relationship D. Relinquishing old attachments E. Readjustments to adapt to the new world by forgetting the old. 411. You are the nurse caring for an 87 year old Mexican-American female patien who is in end-stage renal disease. The physician has just been in to see the patients and her family to tell them that nothing more can be done for the patient and that death is not far off. The physician offers to discharge the patient home to hospice care. The patient and family refuse. After the physician leaves, the patient's daughter approached you and asks what hospice care is. What would this lack of knowledge about hospice care perceived as? A. Lack of American education of the patient and her family B. A language barrier to hospice care for this patient C. A barrier to hospice care for this patient D. Inability to grasp American concepts of health care

Answer 1

409.The patient who is having a hip fracture needs a surgical correction to repair this.They cannot mobilize so a Foley's father are adviced .The renin angiotensin aldosterone on sympathetic stimulation will lead to absorption of sodium and water from the urine resulting in low urine output

The re ki ease of atrial natriuretic peptide will increase the GFR rate and lead to diuresis

No history of patient passed urine before coming to hospital

The patient is consciousness so intervention for ot is not needed

Ans:He is having a sympathetic reactions has stimulated the renin angiotensin aldosterone system that results in diminished urine output

410.The key process in mourning are

• Trying to identify the loss
• The people reacts to the loss
• Remembering the deceased ,it is a form of recollection and re experience
• Old attachment to be relinquished gradually
• Readjustment
• Reinvesting

Ans:Re investment, Re-experiencing the relationship, Relinguishing old attachments, Readjust to adapt to the new world by forgetting the old

411.Patients which are in the end stage has to be educated about the hospice care which can be taken fir a peaceful death in their home or a familiar envwith the support of family and the healthcare professionals providing services until then.

As they are Mexican Anerican language will not be a major barrier or any lack of education

D.Inability to grasp American concepts of health care

The patient deserves for hospice care