A client states “I don’t want to have surgery.” Which of the following is a therapeutic response to the client?

“Surgery is your only choice. You need this operation.”.

“Whether or not you have the surgery is your choice. What is your understanding of the situation?”.

“I hear you.

I wouldn’t want surgery either.

Answer and Explanation

The Correct Answer is B

What is your understanding of the situation?”. This is a therapeutic response because it respects the client’s autonomy and invites them to share their concerns and feelings about the surgery.

Choice A is wrong because it is authoritarian and dismissive of the client’s feelings. It does not acknowledge the client’s right to refuse treatment.

Choice C is wrong because it is nontherapeutic and shows agreement with the client’s refusal. It also implies that the nurse and the doctor are on different sides.

Choice D is wrong because it is manipulative and guilt-tripping. It implies that the client does not care about their loved ones or their own life.

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Correct Answer is B

Explanation

Potassium is 3.0.

This is because furosemide is a loop diuretic that can cause hypokalemia (low potassium levels) as a side effect. Hypokalemia can lead to muscle weakness, cramps, cardiac arrhythmias, and digoxin toxicity. The normal range for potassium is 3.5 to 5.0 mEq/L.

Choice A is wrong because sodium is 144 is within the normal range of 135 to 145 mEq/L.

Choice C is wrong because chloride is 99 is within the normal range of 98 to 106 mEq/L.

Choice D is wrong because calcium is 5.0 is within the normal range of 4.5 to 5.5 mg/dL.

A. “Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.”. B. “I will urinate less when taking Clozaril, and that is normal.”. C. “I will use the Clozaril as needed for delusions and hallucinations.”. D. “Clozaril is now available over-the-counter and in a generic form.”.

Correct Answer is A

Explanation

“Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.” This indicates that the client understands that Clozaril (clozapine) is an antipsychotic medication that can affect the immune system and cause a serious blood disorder called agranulocytosis. The client needs to have regular blood tests to monitor the white blood cell count and prevent infections.

Choice B is wrong because Clozaril can cause urinary retention, not decreased urination. The client should be advised to report any difficulty or pain when urinating.

Choice C is wrong because Clozaril is not a PRN medication. It should be taken regularly as prescribed by the doctor to maintain a therapeutic level and prevent relapse of psychotic symptoms.

Choice D is wrong because Clozaril is not available over the counter or in a generic form. It is a controlled substance that requires a special program and a certified pharmacy to dispense it.

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A client states “I don’t want to have surgery.” Which of the following is a therapeutic response to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is started on furosemide 80 mg every morning. Which lab result needs to be reported to the health care provider?

Correct Answer is B

Explanation

Which response by the client indicates that medication instruction by the RN has been effective?

Correct Answer is A

Explanation

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