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 "
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Pitting edema: Pitting edema typically indicates fluid volume excess, not deficit. It occurs when there is an accumulation of fluid in the interstitial spaces, causing swelling that leaves an indentation when pressed.
B. Skin tenting: Skin tenting is a common sign of fluid volume deficit, particularly dehydration. It occurs when the skin loses elasticity due to a lack of adequate hydration, causing the skin to remain "tented" when pinched.
C. Elevated blood pressure: Elevated blood pressure is more commonly associated with fluid volume excess, not deficit. Increased fluid volume can lead to higher blood pressure due to greater circulating volume and increased vascular resistance.
D. Dyspnea: Dyspnea, or difficulty breathing, is a symptom that can be caused by a variety of conditions, including fluid volume excess, especially in the case of pulmonary edema. It is not a direct indicator of fluid volume deficit.
Correct Answer is C
Explanation
Rationale:
A. Photosensitivity: Photosensitivity is a known side effect of some antibiotics, particularly tetracyclines, but it is not commonly associated with cefaclor. The nurse should monitor for other more likely adverse effects of cefaclor.
B. Blurred vision: Blurred vision is not a typical side effect of cefaclor. Although some antibiotics may cause visual disturbances, this is not commonly seen with cefaclor, and there is no evidence linking cefaclor to blurred vision.
C. Diarrhea: Diarrhea is a common side effect of cefaclor, as it can disrupt the normal balance of gut bacteria. Antibiotics like cefaclor can cause gastrointestinal disturbances, including diarrhea, due to the killing of both harmful and beneficial bacteria in the intestines.
D. Hypoglycemia: Hypoglycemia is not a typical side effect of cefaclor. Although some medications can lower blood sugar, cefaclor is not generally associated with causing hypoglycemia, making this less relevant for monitoring in a client receiving cefaclor.
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