A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is distressed over his mother's crying and condition. Which of the following responses should the nurse make?

It must be hard to see your mother so ill and upset.

If you just sit quietly with your mother, I'm sure she will calm down.

I'll talk with your mother and see if I can comfort her.

"Your mother's crying seems to bother you more than it does her."

Answer and Explanation

The Correct Answer is A

A. It must be hard to see your mother so ill and upset is a compassionate and empathetic response that acknowledges the son's distress while validating his feelings. This approach fosters open communication and emotional support, which is important for both the patient and their family.

B. Telling the son to sit quietly with his mother may invalidate his feelings and suggests that the solution is simply to wait for the mother to calm down. It does not acknowledge his emotional distress or provide the necessary support.

C. While offering to comfort the mother is kind, this response does not address the son’s emotional needs. It is important to support the family members as well, not just the patient.

D. "Your mother's crying seems to bother you more than it does her" is dismissive of the son's feelings and could make him feel misunderstood or judged. It does not provide the necessary emotional support for the son.

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Correct Answer is B

Explanation

A. While chemotherapy does have side effects, this is not the primary reason for its limited use in treating brain tumors. Side effects are a consideration but not the main obstacle.

B. The blood-brain barrier is a selective permeability barrier that limits the ability of many chemotherapy drugs to pass from the bloodstream into the brain tissue. This makes it difficult for chemotherapy to effectively treat brain tumors.

C. Brain tumors can metastasize and spread to other parts of the body, so chemotherapy may still be needed, especially in cases of malignant tumors.

D. Chemotherapy is commonly used to treat cancer, including brain tumors, but the blood-brain barrier poses a significant challenge in its effectiveness.

A. His lower body and legs are extremely weak. B. He is unable to move his lower body and legs. C. He has temporarily lost motor and sensory functions below the waist. D. He cannot move anything from the neck down.

Correct Answer is B

Explanation

A. Weakness in the lower body is not an accurate description of paraplegia. Paraplegia refers to the loss of function, not just weakness.

B. Paraplegia refers to the loss of motor and sensory function in the lower body, including the legs, due to a spinal cord injury, typically below the level of the injury. This is the most accurate response.

C. Temporary loss of motor and sensory functions is more characteristic of conditions like spinal shock, not paraplegia. Paraplegia refers to permanent impairment following spinal cord injury.

D. The description of loss of movement from the neck down is characteristic of quadriplegia (or tetraplegia), not paraplegia, which specifically involves the lower body.

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A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is distressed over his mother's crying and condition. Which of the following responses should the nurse make?

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A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is distressed over his mother's crying and condition. Which of the following responses should the nurse make?