A nurse is caring for a client who has cancer. The client tells the nurse, "I would prefer to try vitamins and minerals instead of chemotherapy." Which of the following responses should the nurse make?

"I have never heard of any holistic treatment that is effective."

"Tell me what you know about chemotherapy."

"You should ask your provider about your plan."

"The best way to treat your cancer is chemotherapy "

Answer and Explanation

The Correct Answer is B

Rationale:

A. "I have never heard of any holistic treatment that is effective." This response is dismissive. It is important for the nurse to acknowledge the client’s concerns without shutting down the discussion or disregarding the client’s preferences.

B. "Tell me what you know about chemotherapy." This response uses therapeutic communication by exploring the client’s understanding, beliefs, and concerns. It is open-ended, nonjudgmental, and promotes client education and shared decision-making. This approach helps the nurse identify misconceptions and provide appropriate information while respecting the client’s autonomy.

C. "You should ask your provider about your plan." This deflects responsibility and does not address the client’s concerns or promote understanding.

D. "The best way to treat your cancer is chemotherapy." This statement is prescriptive and does not acknowledge the client’s preferences or values. A more collaborative approach would involve discussing treatment options, risks, and benefits, while providing the client with the opportunity to make an informed decision.

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Correct Answer is C

Explanation

Rationale:

A. "You can lift objects that weigh more than 20 pounds 2 weeks after discharge." Lifting heavy objects is generally discouraged after coronary artery bypass graft (CABG) surgery for at least 4-6 weeks. Lifting more than 20 pounds too soon can strain the chest and interfere with healing.

B. "You should walk 400 feet twice per day for the first week following discharge." While walking is encouraged to improve circulation and promote recovery, 400 feet twice a day may be too much for the first week following discharge. The client should start with shorter distances and gradually increase activity based on the client's tolerance.

C. "You should wait at least 4 weeks before returning to work." After CABG surgery, clients are typically advised to avoid returning to work, especially if it involves physical labor, for at least 4-6 weeks to allow adequate time for recovery.

D. "Limit your sodium intake to 4 grams per day for 4 weeks following discharge." Clients with heart disease are generally advised to follow a low-sodium diet, usually limiting intake to 2-3 grams per day to prevent fluid retention and reduce strain on the heart.

A. Three doses of nitroglycerin relieve the client's pain. B. Pain radiates to the client's left arm. C. Pain began in the morning while the client was resting. D. Pain is greatest in the client's substernal chest area.

Correct Answer is C

Explanation

Rationale:

A. Three doses of nitroglycerin relieve the client's pain: While nitroglycerin can relieve chest pain related to angina, the fact that the pain subsides after three doses may indicate stable angina. However, this does not address the underlying concern if the pain began at rest, which is more concerning.

B. Pain radiates to the client's left arm: Pain radiating to the left arm is a common symptom of angina or myocardial infarction (MI). While this is concerning, it is not the most urgent finding compared to the pain onset, especially when pain occurs at rest.

C. Pain began in the morning while the client was resting: Chest pain occurring at rest, especially in the morning, is the most concerning symptom. This could indicate unstable angina or an impending myocardial infarction (MI). Unstable angina is more dangerous than stable angina and requires immediate intervention.

D. Pain is greatest in the client's substernal chest area: Substernal chest pain is characteristic of angina, but it is not as concerning as the timing of pain onset. Pain at rest, especially in the morning, suggests unstable angina or MI, which is a higher priority.

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A nurse is caring for a client who has cancer. The client tells the nurse, "I would prefer to try vitamins and minerals instead of chemotherapy." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client following coronary artery bypass graft surgery. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse in the emergency department is assessing a client who has a history of angina and reports chest pain. Which of the following findings is the priority?

Correct Answer is C

Explanation

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