A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment, the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?

Support the client in her personal decision.

Refer the client to a counselor.

Encourage the client not to give up.

Suggest that the client talk with a breast cancer survivor.

Answer and Explanation

The Correct Answer is A

A.   Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare.
B.   Referring the client to a counselor can be appropriate, but the primary response should be to support the client's decision.
C.   Encouraging the client not to give up may not be appropriate if the client has made a well- considered decision to refuse further treatment.
D.   Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.

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Correct Answer is A

Explanation

A. Keeping the client's bed linens dry helps maintain the client's comfort and prevents chilling associated with damp linens.
B. Applying an alcohol-water solution may increase evaporative cooling and is not a standard intervention for fever.

C. Encouraging increased fluid intake is appropriate to promote hydration, but the specific amount should be individualized based on the client's condition and needs.
D. Applying ice packs to the groin is not a recommended site for cooling and may cause discomfort. The choice of cooling measures should be appropriate and based on the healthcare provider's orders or institutional protocols.

A. Hold the dropper 1/2 inch (1 cm) above the ear canal during administration. B. Place a cotton ball into the inner ear canal for 30 min following administration. C. Straighten the ear canal by pulling the auricle down and back prior to administration. D. Apply pressure to the nasolacrimal duct following administration.

Correct Answer is A

Explanation

A. Holding the dropper 1/2 inch (1 cm) above the ear canal during administration (option A) is indeed the correct action when administering otic medications. This distance helps to ensure that the medication is properly instilled into the ear canal without touching the dropper tip to the skin or ear canal, reducing the risk of contamination.
B. Placing a cotton ball into the inner ear canal is not necessary following otic administration. It may cause unnecessary discomfort to the client.

C. Straightening the ear canal by pulling the auricle down and back can make the medication trickle out of the ear. It should be held outward and upward.
D. Applying pressure to the nasolacrimal duct is a technique used for ophthalmic medications, not otic medications.

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A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment, the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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