A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve block. The client tells the nurse. "I am afraid to have this procedure." Which of the following responses should the nurse make?

"After this procedure, you will feel much better."

"Let's discuss your concerns about this procedure."

"Are you afraid of needles that will be used during the procedure?"

"Tell me why you are scared to have this procedure."

Answer and Explanation

The Correct Answer is B

A)   Offering reassurance about the outcome of the procedure may not address the client's specific fears.
B)   Encouraging the client to discuss their concerns allows the nurse to address any misconceptions or fears the client may have and provide appropriate information and support.
C)   Assuming the client's fear is related to needles may not be accurate and may not address their specific concerns.
D)   Asking the client to explain why they are scared is a good approach, but it may not immediately address their fears or provide the support they need.

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Correct Answer is A

Explanation

A) Padding the upper two side rails of the client's bed helps prevent injury during a seizure by reducing the risk of head trauma.
B) Maintaining peripheral IV access may not directly address the client's safety during a seizure.
C) Teaching assistive personnel to apply restraints is not appropriate for managing seizures and may not be indicated unless other safety measures have failed.
D) Keeping a padded tongue blade at the client's bedside is not necessary and may not be safe if the client experiences a seizure.

A. Instruct the client to sit on a rubber ring when seated in a chair. B. Raise the head of the client's bed to a 90° angle. C. Use moisturizing lotion while massaging the client's bony prominences. D. Place pillows between the client's knees when in a side-lying position.

Correct Answer is D

Explanation

A) Instructing the client to sit on a rubber ring may provide comfort for those with hemorrhoids or perineal discomfort but is not directly related to managing hemiplegia.
B) Raising the head of the client's bed to a 90° angle may be uncomfortable and may not address the specific needs related to hemiplegia.
C) Using moisturizing lotion while massaging the client's bony prominences is important for skin integrity but does not directly address the positioning needs of a client with hemiplegia.
D) Placing pillows between the client's knees when in a side-lying position helps maintain proper alignment, prevents pressure ulcers, and promotes comfort for the client with hemiplegia.

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A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve block. The client tells the nurse. "I am afraid to have this procedure." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on the medical-surgical unit is caring for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is planning care for a client who has hemiplegia. Which of the following interventions should the nurse include?

Correct Answer is D

Explanation

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