A 29-year-old woman tells the nurse that she has “excruciating pain” in her back. Which would be an appropriate response by the nurse to the woman’s statement?
“That sounds terrible!” must be terrible. You probably pinched a nerve.”
“How does your family react to your pain?”
“I’ve had back pain myself, and it can be excruciating.”
“How would you say the pain affects your daily activities?”
The Correct Answer is D
Choice A reason: Saying “That must be terrible” and suggesting a pinched nerve is dismissive and assumes a cause without assessment. Exploring the pain’s impact gathers critical data, so this is incorrect for an appropriate response.
Choice B reason: Asking about family reactions shifts focus from the patient’s experience and is less relevant initially. Assessing how the pain affects daily activities provides functional insight, so this is not the best response for pain assessment.
Choice C reason: Sharing personal experience can seem empathetic, but it this risks bias and doesn’t assess the patient’s pain. Asking about daily activity impact is more patient-centered, so this is incorrect for professional response.
Choice D reason: Asking how pain affects daily activities encourages the patient to describe the pain’s severity and impact, aiding assessment and planning. This open-ended, patient-focused response is therapeutic, making it the correct choice for the nurse’s reply.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Guidelines recommend the first Pap smear at age 21, regardless of sexual activity, to screen for cervical cancer. This age balances the risk of detecting clinically significant abnormalities while avoiding unnecessary testing in younger women, whose HPV infections often resolve.
Choice B reason: Age 16 is too early for routine Pap smears, as cervical cancer is rare in adolescents, and HPV infections often clear spontaneously. Screening at this age may lead to overdiagnosis and unnecessary procedures, making it an incorrect recommendation.
Choice C reason: Tying Pap smears to sexual activity is outdated. Current guidelines recommend starting at age 21, as earlier screening in sexually active younger women often detects transient HPV infections, leading to overtreatment, making this an incorrect criterion.
Choice D reason: Age 18 is not the recommended starting point for Pap smears, as cervical cancer risk is low in this age group, and screening may lead to unnecessary interventions. Guidelines specify age 21 for routine screening, making this choice incorrect.
Correct Answer is C
Explanation
Choice A reason: Bronchial breath sounds are loud, high-pitched, with expiration longer than inspiration, typically heard over the trachea or in consolidated lung areas. The described soft, low-pitched sounds with longer inspiration in the posterior lower lobes do not match, making this incorrect.
Choice B reason: Sounds over the trachea are bronchial, characterized by loud, high-pitched sounds with expiration equal to or longer than inspiration. The soft, low-pitched sounds with longer inspiration in the posterior lower lobes indicate peripheral lung fields, not tracheal sounds, making this incorrect.
Choice C reason: Vesicular breath sounds are soft, low-pitched, with inspiration longer than expiration, heard over peripheral lung fields like the posterior lower lobes. These are normal findings, reflecting air movement in alveoli, making this the correct interpretation of the described sounds.
Choice D reason: Bronchovesicular sounds are medium-pitched with equal inspiration and expiration, typically heard near mainstem bronchi. The described low-pitched sounds with longer inspiration in the posterior lower lobes align with vesicular sounds, not bronchovesicular, making this incorrect.
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