A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make?
"Do you need information on hospice care?"
"Do you need a prescription for an antianxiety medication?"
"Would you like to talk to a counselor about advance directives?"
"Would you like to speak to a spiritual advisor?"
The Correct Answer is D
A. "Do you need information on hospice care?" While hospice care is important for terminally ill patients, this question may not directly address the client's feelings of depression or their immediate emotional needs.
B. "Do you need a prescription for an antianxiety medication?" This statement may not be appropriate at this time, as it suggests a focus on medication rather than exploring the client's feelings. It’s important to first assess the client’s emotional needs and discuss therapy options.
C. "Would you like to talk to a counsellor about advance directives?" This question shifts the focus from the client's feelings of depression to advance care planning, which may not be the most relevant topic at this moment.
D. "Would you like to speak to a spiritual advisor?" This statement acknowledges the client's emotional state and offers a supportive option for exploring feelings of depression, which can be beneficial for those facing terminal illness. Spiritual support can provide comfort and help the client process their emotions during this difficult time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Kaposi's sarcoma lesions: Kaposi's sarcoma is a cancer that commonly appears in individuals with immunocompromised states, such as those with HIV/AIDS. It is not associated with systemic lupus erythematosus (SLE). Therefore, finding Kaposi's sarcoma lesions would not be expected in a client with SLE.
B) Hemangiomas: Hemangiomas are benign vascular tumors typically seen in infants and children. While they can occur in various skin conditions, they are not characteristic of systemic lupus erythematosus. Thus, finding hemangiomas would not be relevant in this context.
C) Psoriasis: Psoriasis is a chronic autoimmune condition that causes red, scaly patches on the skin. While both psoriasis and lupus are autoimmune disorders, the specific skin manifestations of lupus differ from those of psoriasis. Therefore, a nurse would not expect to find psoriasis in a client with systemic lupus erythematosus.
D) Raised facial rash: A raised facial rash, often described as a "butterfly rash," is a classic manifestation of systemic lupus erythematosus. This rash typically appears across the cheeks and nose and is associated with photosensitivity, making it a key finding when assessing clients with SLE. Thus, the presence of a raised facial rash is an expected and significant finding in this condition.
Correct Answer is A
Explanation
A) Phlebitis: The presence of redness and warmth around the peripheral catheter insertion site is indicative of phlebitis, which is inflammation of the vein. This condition can result from mechanical irritation, chemical irritation from the infusion, or infection. It is crucial to monitor and document these findings promptly.
B) Extravasation: This occurs when intravenous (IV) fluids or medications leak into the surrounding tissue, causing tissue damage. Symptoms typically include pain, swelling, and possible blistering, rather than just redness and warmth.
C) Infiltration: This refers to the unintentional infusion of fluid into the surrounding tissue due to the catheter becoming dislodged or puncturing the vein. It is characterized by swelling, coolness, and tenderness at the site rather than warmth and redness.
D) Circulatory overload: This condition results from excessive fluid volume in the circulatory system, leading to symptoms such as shortness of breath, hypertension, and peripheral edema. It is not associated with localized redness and warmth at the catheter site.
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