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?"

Answer and Explanation

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.

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Correct Answer is A

Explanation

A) “I will need to keep my hand elevated above my heart for several days.”: Elevating the hand above the heart helps reduce swelling and pain after surgery. This practice is crucial for promoting proper healing and minimizing discomfort.

B) “I should expect numbness and tingling in my hand.”: Numbness and tingling are not expected outcomes and could indicate complications. These symptoms should be reported to the healthcare provider for further evaluation.

C) “I should not use my affected hand for 4 to 6 weeks.”: Complete restriction of hand use for 4 to 6 weeks is unnecessary and could lead to stiffness and decreased function. Gradual use and movement are encouraged to aid recovery.

D) “I can apply heat for the first 24 hours to minimize the pain in my hand.”: Applying heat in the first 24 hours can increase swelling and should be avoided. Cold therapy is recommended initially to reduce inflammation and pain.

A. "Ensure the child's hair is clean and without conditioner before the procedure." B. "Give the child acetaminophen for pain following the procedure." C. "Make the child NPO before the procedure." D. "Keep the child out of the sun for 4 hr following the procedure."

Correct Answer is A

Explanation

A. "Ensure the child's hair is clean and without conditioner before the procedure.": This is important because any oils or products in the hair can interfere with the electrodes' ability to detect brain activity accurately. Clean, product-free hair helps ensure the best results from the EEG.

B. "Give the child acetaminophen for pain following the procedure.": EEGs are generally non-invasive and do not typically cause pain, so administering pain relief afterward is usually unnecessary unless specified by a healthcare provider.

C. "Make the child NPO before the procedure.": Typically, there is no need for the child to be NPO (nothing by mouth) for an EEG unless it is specified for a particular type of EEG that might involve sedation. Most routine EEGs do not require this.

D. "Keep the child out of the sun for 4 hr following the procedure.": There are no standard recommendations related to sun exposure after an EEG. Therefore, this instruction is not applicable.

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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?

Nursing Test Bank

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