A nurse is caring for a client who has a new colostomy. The client tells the nurse, "I don't want anyone to see me with this bag." Which of the following responses should the nurse make?
"Many people have colostomies and they live full lives."
"Would it help to speak with someone else who has a colostomy?"
"Why don't you want people to see the colostomy bag?"
"You shouldn't worry, the colostomy is probably only temporary."
The Correct Answer is A
Correct. This response provides reassurance and normalizes the client's experience by emphasizing that having a colostomy does not prevent individuals from leading fulfilling lives. B. Incorrect. While peer support can be beneficial, this response does not directly address the client's concerns or provide immediate reassurance.
C. Incorrect. This response may put the client on the spot and make them feel uncomfortable discussing their feelings. It's important to respect the client's privacy and autonomy in disclosing their reasons for not wanting others to see the colostomy bag.
D. Incorrect. Making assumptions about the temporary nature of the colostomy without medical confirmation may not be accurate and can contribute to false hope or disappointment if the client's colostomy is permanent. It's important to provide honest and accurate information while being supportive of the client's emotional needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
: Salmon is a source of complete protein because it contains all nine essential amino acids that the body cannot synthesize on its own.
B: Hard-boiled eggs are a source of complete protein as they provide all the essential amino acids necessary for the body's functions.
C: Cottage cheese is a source of complete protein, containing all the essential amino acids needed for muscle repair and growth.
D: Whole wheat bread is not a source of complete protein as it lacks one or more of the essential amino acids.
E: Steamed spinach is not a source of complete protein because it does not contain all of the essential amino acids in sufficient quantities. It is considered an incomplete protein.
Correct Answer is ["A","B","C","E","F"]
Explanation
A. Chest x-ray: Essential for visualizing the heart and lungs, which is critical in a patient with symptoms of heart failure and respiratory issues.
B. Basic metabolic profile (BMP): Important to assess electrolytes, renal function, and glucose levels, especially given the patient's history of diabetes and hypertension.
C. 12-lead ECG: Necessary for evaluating heart rhythm, rate, and to look for any ischemic changes, especially since the patient is experiencing tachycardia.
D. Doppler studies of lower extremities: While useful for assessing peripheral vascular disease, it is not as immediately relevant as the other tests for a direct diagnosis of heart failure.
E. Brain natriuretic peptide (BNP) level: A key diagnostic test for heart failure as elevated levels are indicative of cardiac stress.
F. Echocardiogram: Provides critical information on heart function and structure, which is essential for diagnosing and managing heart failure.
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