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 A

Explanation

This is because the nurse should first ensure that help is on the way before performing any other actions on an unconscious and unresponsive client. Calling for assistance may also alert someone who can bring an automated external defibrillator (AED) if needed.

Choice B is wrong because giving 2 rescue breaths is part of CPR, which should only be done after checking for a pulse and finding none or a weak one.

Giving rescue breaths to a client who has a pulse may cause harm.

Choice C is wrong because checking for apical pulse is not the most reliable way to assess circulation in an emergency situation. The nurse should check for a carotid pulse instead, which is easier to locate and more indicative of blood flow to the brain.

Choice D is wrong because beginning chest compressions is also part of CPR, which should only be done after calling for assistance and checking for a pulse and finding none or a weak one.

Chest compressions may cause harm to a client who has a pulse.

A. After fasting. B. Before breakfast. C. After a normal meal. D. Before glucose is consumed.

Correct Answer is C

Explanation

A two-hour postprandial glucose test is done to check your blood sugar level two hours after you eat a meal.

This test helps to diagnose diabetes or monitor its treatment. A normal blood sugar level for this test is less than 140 mg/dL.

Choice A is wrong because fasting means not eating for at least eight hours before the test. This is done for a fasting blood glucose test, not a postprandial one.

Choice B is wrong because before breakfast means before you eat anything in the morning. This is also done for a fasting blood glucose test, not a postprandial one.

Choice D is wrong because before glucose is consumed means before you drink a sugary liquid for a glucose tolerance test. This test measures how your body handles glucose after drinking it, not after eating a meal.

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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 nurse finds an adult client lying unconscious & unresponsive on the bathroom floor. Which action should the nurse take first?

Correct Answer is A

Explanation

A client is to have a two-hour post-prandial blood glucose drawn. Which statement should the nurse make to inform the client when the two-hour test will be performed?

Correct Answer is C

Explanation

Which areas should the nurse teach a dark-skinned client to inspect regularly for skin cancer like melanoma?

A health care provider prescribes guaifenesin with dextromethorphan 1 tablespoon every 6 hours for a client who has a nonproductive cough. How many milliliters should a nurse administer for each dose?

When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which findings?

Which symptom experienced by a client receiving a continuous enteral feeding via a nasogastric tube requires priority follow-up by the nurse?

A nurse is out in public when an individual suddenly falls to the ground with a generalized tonic- clonic (grand mal) seizure. Which action should the nurse take first?

Which technique is the proper method to administer otic drops to an adult client?

When a client reports altered sexuality patterns, the nurse should: (Select all that apply).

Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).