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?
"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."
"Why did you make the decision to have this procedure?"
"You shouldn't be worried because the procedure is very safe."
The Correct Answer is A
The nurse shows empathy towards the client and respects her wish to not have the procedure
B. This shows a lack of acknowledgement of the client’s emotional distress
C. This shows a lack of empathy and compassion
D. The nurse is reassuring but fails to understand that the client’s concerns may not be about safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Restraints should be removed every two hours to assess skin integrity under the restraints and distal circulation
A. A square knot may be difficult to release in the case of an emergency
B. Restraints should be attached to movable parts of the bed to avoid injury during pulling.
D. Allow two fingerbreadths between the restraint and the wrist
Correct Answer is B
Explanation
Being difficult to arouse may be and indicator of respiratory depression which is a common side effect of opioid use. This is more common when given in high doses. Although benzodiazepines could cause respiratory depression, the risk is lower.
A. opioid is more likely to be the cause of respiratory depression
C. continuing the medications despite the increased risk of respiratory depression is unethical
D. An NSAID is unlikely to provide optimal analgesia which is a key goal in end of life care,
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