A nurse is caring for a client who has acute lymphocytic leukemia. The client is refusing blood products. Which one of the following responses should the nurse take?
“I understand that you decided not to receive blood products.”
“Not receiving blood will slow down your memory”
“Why are you refusing to receive blood products?”
“You need to talk with your doctor about this”
The Correct Answer is A
Choice A Reason:
“I understand that you decided not to receive blood products.” This response shows empathy and acknowledges the client's decision without judgment. It respects the client's autonomy and decision-making capacity.
Choice B Reason:
“Not receiving blood will slow down your memory.” This statement introduces a potential consequence that may not be accurate or relevant to the client's decision. It is important to provide information, but scare tactics or inaccurate statements may not be helpful.
Choice C Reason:
“Why are you refusing to receive blood products?” While understanding the client's rationale is essential, the initial response should convey empathy and acceptance. Asking why may be appropriate later in the conversation, but starting with understanding is crucial.
Choice D Reason:
“You need to talk with your doctor about this.” While involving the doctor is important, it's essential to address the client's feelings and decisions directly. The nurse can play a supportive role in facilitating communication between the client and the healthcare team.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A Reason:
Wiping the eyes from the outer to the inner canthus is inappropriate. This direction of wiping might risk introducing contaminants into the eyes. It's generally advised to wipe from the inner to the outer canthus to minimize the risk of introducing potential eye irritants.
Choice B Reason:
Applying eye patches over the eyes if the eyelids do not close completely is appropriate. Eye patches help protect the eyes from potential damage, dryness, or exposure to light if the eyelids do not close fully.
Choice C Reason:
Cleansing the eyes with a chlorhexidine solution is inappropriate. Chlorhexidine solution might be too harsh for use around the delicate eye area and could cause irritation or damage to the eyes. Using a gentler and specifically formulated eye cleansing solution or sterile saline is usually recommended for eye care.
Choice D Reason:
Placing moist compresses over the eyes every 2 to 4 hours is appropriate. Moist compresses can help maintain moisture and prevent dryness in the eyes, reducing the risk of corneal damage due to the inability to blink.
Choice E Reason:
Instilling lubricating eye drops into the lower lid of each eyeis appropriate. Lubricating eye drops help prevent dryness and maintain eye moisture, offering protection to the cornea.
Correct Answer is A
Explanation
Choice A Reason:
Consuming probiotic sources is recommendable. Probiotics are beneficial bacteria that can promote gut health. Including probiotic sources in the diet, such as yogurt with live cultures or other fermented foods, can help maintain a healthy balance of gut bacteria and alleviate constipation.
Choice B Reason:
Using a laxative every day is not recommendable. Regular use of laxatives is generally not recommended for chronic constipation, as it can lead to dependence and may not address the underlying causes.
Choice C Reason:
Baking with white flour is not recommendable. Consuming refined white flour may not contribute significantly to relieving constipation. Whole grains, high-fiber foods, and adequate fluid intake are more beneficial.
Choice D Reason:
Taking a calcium supplement is not recommendable. While calcium is important for overall health, taking a calcium supplement is not typically recommended as the primary intervention for chronic constipation. Dietary and lifestyle measures, such as increasing fiber intake and staying hydrated, are more commonly recommended.
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