A nurse is assisting a client who is 4 hr postoperative to get out of bed.
The client states, “Do not touch me! I can get up by myself.” Which of the following responses should the nurse make?
“I think you need some pain medication before getting out of bed.”.
“We can talk about this after you have gotten out of bed.”.
“Why don’t you want to be touched?”.
“I will be next to you and will help if you need me to.”.
The Correct Answer is D
The correct answer is choice D. The nurse should respect the client’s autonomy and offer assistance if needed.
The nurse should also assess the client’s pain level and provide adequate pain relief before helping the client get out of bed.
Choice A is wrong because it implies that the client is in pain and needs medication, which may not be true.
The nurse should ask the client about their pain level and offer medication if appropriate.
Choice B is wrong because it dismisses the client’s feelings and does not address the underlying issue of why the client does not want to be touched.
Choice C is wrong because it may make the client feel defensive or interrogated.
The nurse should use open-ended questions and active listening to explore the client’s concerns and fears.
According to web sources, postoperative care involves monitoring and managing the client’s vital signs, pain, wound healing, fluid and electrolyte balance, bowel and bladder function, mobility, and psychological status.
The nurse should also educate the client about self-care, wound care, activity restrictions, medication use, signs of complications, and follow-up appointments.
The nurse should also provide emotional support and reassurance to the client and their family.
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Related Questions
Correct Answer is D
Explanation
It can also increase the risk of denture stomatitis and pneumonia.
Dentures should be removed overnight and soaked in a denture-cleansing solution.
Choice A is wrong because rinsing dentures after meals can help remove food debris and prevent plaque buildup.
Choice B is wrong because soaking dentures in water after removal can prevent them from drying out and losing their shape.
However, water alone is not enough to disinfect dentures, so a denturecleansing solution should also be used.
Choice C is wrong because applying an adhesive to seal dentures in place can improve the fit and comfort of dentures.
However, adhesive should not be used as a substitute for poorly fitting dentures, and any excess adhesive should be removed by brushing.
Correct Answer is D
Explanation
The correct answer is choice D. “You are feeling angry that your family continues to wish for a cure?”.
This response reflects the client’s feelings and encourages further communication.
It also shows empathy and respect for the client’s situation.
Choice A is wrong because it implies that the client is responsible for their family’s lack of understanding.
It may also make the client feel defensive or guilty.
Choice B is wrong because it is judgmental and dismissive of the client’s feelings.
It may also discourage the client from expressing their emotions.
Choice C is wrong because it focuses on the nurse’s needs rather than the client’s.
It may also sound intrusive or presumptuous to the client.
Hospice care is for people who are in the final stages of an incurable illness and want to focus on comfort and quality of life rather than curative treatments.
Hospice care teams provide physical, emotional, social, and spiritual support to clients and their families.
Hospice care can be provided at home, in a hospital, in a nursing home, or in a specialized hospice center.
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