A client is seen in the clinic after a failed in-vitro fertilization. Which nursing problem has the highest priority?
Impaired verbal communication.
Ineffective individual coping.
Altered sexuality patterns.
Impaired social isolation.
The Correct Answer is B
A. Impaired verbal communication: While difficulty expressing feelings may occur after IVF failure, it does not immediately threaten the client’s emotional or physical well-being and is lower priority compared to coping.
B. Ineffective individual coping: Emotional distress after a failed IVF attempt can significantly affect mental health, daily functioning, and decision-making. Supporting effective coping is the highest priority to prevent depression, anxiety, or maladaptive behaviors.
C. Altered sexuality patterns: Concerns about sexual intimacy may develop following infertility treatment, but these issues are secondary to the client’s immediate coping and emotional adjustment needs.
D. Impaired social isolation: Social withdrawal can occur due to emotional distress, but it is a consequence of ineffective coping. Addressing coping strategies first helps prevent or reduce social isolation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Slide hands under the client's lumbar area and knees: Manually lifting or sliding a client without a mechanical aid increases the risk of injury to both the client and the nurse. This method does not provide adequate support or leverage for safe turning.
B. Turn the client away from the PN using a turning sheet: Using a turning sheet allows for safe, controlled movement of a dependent client while reducing strain on the nurse. It also minimizes the risk of skin shearing or musculoskeletal injury, ensuring client safety during repositioning.
C. Put the bed rails up on the opposite side of the bed: Raising bed rails may prevent falls but does not assist in the actual turning process. It does not address the immediate need for safe and controlled movement of the client.
D. Grasp the client's hand to pull the client towards the PN: Pulling on the client’s arm can cause joint injury, pain, or skin tears. It does not provide adequate support for turning a dependent client safely.
Correct Answer is D
Explanation
A. Reassure the client that the drops will not be needed often since eye pain in glaucoma is not common: Offering reassurance without correcting the misunderstanding fails to address the client’s incorrect belief about the medication’s purpose and may lead to misuse.
B. Document in the chart that the client understands the action and use of the eye drops: Documentation of understanding should only occur after confirming accurate knowledge. Since the client expressed an incorrect use of the medication, reteaching is required before documentation.
C. Explain to the client that the eye drops do provide pain relief, but do not anesthetize the eyes: Pilocarpine is not an analgesic or anesthetic; it works by constricting the pupil and increasing aqueous humor outflow to reduce intraocular pressure. Providing this explanation would reinforce misinformation.
D. Reteach the client about the action of the eye drops to decrease pressure in the eyes: The priority is client education. Pilocarpine’s therapeutic purpose is to reduce intraocular pressure in glaucoma, preventing optic nerve damage. Reteaching ensures the client understands correct use and prevents unsafe application.
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