40.a nurse is assisting with the admission of a client to an inpatient unit. which of the following sources…

40.a nurse is assisting with the admission of a client to an inpatient unit. which of the following sources of information should the nurse use as a primary source of accurate data about the client?\na. client concerns\nb. family information\nc. medical history\nd. progress note\n41.a nurse in a dialysis center is caring for a client who has a new diagnosis of end - stage renal disease. at the first dialysis treatment, the client tells the nurse, \i decided to come today, but i am not sure if i will need to come back again this week. i am feeling much better since my discharge from the hospital and i think my kidneys are working again.\ the nurse should recognize the client is demonstrating which stage of kübler - rosss stages of grieving?\na. bargaining\nb. denial\nc. depression\nd. anger\n42.a nurse is caring for a client who has a new diagnosis of chronic renal failure. the nurse should recognize which of the following client statements as an indication of anticipatory grief?\na. \i know that i will get a kidney transplant. i am a good candidate.\\nb. \i can now eat whatever i want. it will be dialyzed out of my system.\\nc. \i just cant believe that my whole life is going to be ruined by dialysis.\\nd. \i know that renal failure runs in my family and i can prevent it.\\n43.a nurse is collecting data about a clients pulmonary system. while auscultating the clients lungs, the nurse hears continuous gurgling, low - pitched sounds over the trachea and bronchi. which of the following terms should the nurse use to document this finding?\na. rhonchi\nb. crackles\nc. wheezing\nd. friction rub

40.a nurse is assisting with the admission of a client to an inpatient unit. which of the following sources of information should the nurse use as a primary source of accurate data about the client?\na. client concerns\nb. family information\nc. medical history\nd. progress note\n41.a nurse in a dialysis center is caring for a client who has a new diagnosis of end - stage renal disease. at the first dialysis treatment, the client tells the nurse, \i decided to come today, but i am not sure if i will need to come back again this week. i am feeling much better since my discharge from the hospital and i think my kidneys are working again.\ the nurse should recognize the client is demonstrating which stage of kübler - rosss stages of grieving?\na. bargaining\nb. denial\nc. depression\nd. anger\n42.a nurse is caring for a client who has a new diagnosis of chronic renal failure. the nurse should recognize which of the following client statements as an indication of anticipatory grief?\na. \i know that i will get a kidney transplant. i am a good candidate.\\nb. \i can now eat whatever i want. it will be dialyzed out of my system.\\nc. \i just cant believe that my whole life is going to be ruined by dialysis.\\nd. \i know that renal failure runs in my family and i can prevent it.\\n43.a nurse is collecting data about a clients pulmonary system. while auscultating the clients lungs, the nurse hears continuous gurgling, low - pitched sounds over the trachea and bronchi. which of the following terms should the nurse use to document this finding?\na. rhonchi\nb. crackles\nc. wheezing\nd. friction rub

Answer

Brief Explanations:

  • Question 40: The client themselves are the primary source of accurate data as they can directly provide information about their own symptoms, concerns, and health status. Family information (B) can be useful but is secondary. Medical history (C) and progress note (D) are records that may not capture current, real - time details as accurately as the client's own account.
  • Question 41: In the denial stage of Kübler - Ross's stages of grieving, the person refuses to accept the reality of the situation. The client in this case is not fully accepting the need for ongoing dialysis treatment (saying they might not need to come back again), which is characteristic of denial. Bargaining (A) involves trying to make deals to avoid the situation, depression (C) is about feelings of hopelessness and sadness, and anger (D) is an emotional outburst against the situation.
  • Question 42: Anticipatory grief is a form of grief that occurs before an expected loss. The statement “I just can't believe that my whole life is going to be ruined by dialysis” (C) shows the client is grieving the potential loss of their previous life due to the chronic renal failure and dialysis. Option A is more of a positive anticipation (hoping for a transplant), B shows a lack of understanding (not grief), and D is in denial (thinking they can prevent a genetic condition that is already diagnosed).
  • Question 43: Rhonchi are continuous, gurgling, low - pitched sounds heard over the trachea and bronchi. Crackles (B) are short, popping sounds, wheezing (C) is a high - pitched whistling sound, and a friction rub (D) is a rough, grating sound due to inflammation of the pleura.

Answer:

  1. A. Client concerns
  2. B. Denial
  3. C. "I just can't believe that my whole life is going to be ruined by dialysis."
  4. A. Rhonchi