A client scheduled for a tubal ligation procedure starts to cry as she is wheeled into the surgical suite. Which of the following nursing statements is an appropriate nursing response?
"Why did you make the decision to have this procedure?"
"It's not too late to cancel the surgery if you want to."
"This won't take long and it will be over before you know it."
"You shouldn't be worried because the procedure is very safe."
The Correct Answer is B
A. This question may make the client feel judged or pressured to justify their decision.
B. The nurse's primary role is to support the client's autonomy and decision-making.
C. This statement may minimize the client's concerns and fail to address their emotional state.
D. While it's important to reassure the client about the safety of the procedure, it's also essential to acknowledge and validate their emotions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A DNR prescription is a legally binding document that reflects the client's wishes regarding resuscitation. The consent of the partner or any other individual cannot reverse or override this directive.
B. Initiating chest compressions would be in violation of the DNR order. The DNR order indicates that the client does not want resuscitation efforts to be performed. Respecting the DNR order is crucial, as it reflects the client’s wishes regarding their end-of-life care.
C. While involving social services may be appropriate to provide emotional support and address any family conflicts or concerns, it is not the immediate action needed in this critical situation. The immediate priority is to adhere to the DNR order, which is a legal directive that must be followed.
D. The nurse must follow the DNR order, as it represents the client’s explicit wishes regarding their care
in the event of cardiac arrest. Adhering to the DNR is essential to respect the client’s autonomy and legal rights. The nurse should ensure that all actions are in compliance with the client’s documented wishes and provide support to the partner by explaining the situation and offering appropriate emotional support or referrals.
Correct Answer is C
Explanation
A. Leaving the purse in a drawer of the bedside table is not a secure option. While it may seem like a convenient place, it does not provide adequate security and might still be vulnerable to theft or misplacement.
B. Although storing the purse at the nurses' station might seem like a safer option, it may not be the most secure method. Items stored at the nurses' station could still be at risk of being misplaced or stolen.
C. Offering to place the purse in the facility safe is the most secure and appropriate action. Facility safes are designed to provide secure storage for valuables and are monitored and managed by the facility to ensure safety. This option directly addresses the client’s concern about theft and provides a high level of security for their belongings.
D. Placing the purse in a clothing bag with the client’s other belongings does not provide additional security and is not an effective way to protect valuables. The clothing bag might not be adequately secured or monitored, making it a less reliable option for safeguarding the purse.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.