A nurse is caring for a client who is expressing anger about their diagnosis of colorectal cancer. Which action should the nurse take?

Discuss the risk factors for colon cancer.

Focus on teaching the client about future management of their illness.

Provide the client with written information about the phases of loss and grief.

Reassure the client that this is an expected response to grief.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Discussing the risk factors for colon cancer may not be helpful or comforting to a client who is expressing anger about their diagnosis. It might lead to feelings of guilt or regret if the client feels they could have done something to prevent the disease.

Choice B rationale

Focusing on future management of the illness may be overwhelming for a client who is currently expressing anger about their diagnosis. It might be more beneficial to address the client’s current emotional state before discussing future plans.

Choice C rationale

Providing written information about the phases of loss and grief may be helpful, but it may not address the client’s immediate emotional needs. The client may not be ready to read and process this information while they are expressing anger.

Choice D rationale

Reassuring the client that anger is an expected response to grief can validate the client’s feelings and help them feel understood. It’s important to acknowledge and validate the client’s emotions during this difficult time.

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Correct Answer is A

Explanation

Choice A rationale

Using a bed exit alarm system is a common intervention to minimize the risk of injury in patients with dementia. These systems alert staff when a patient attempts to leave the bed, allowing for timely intervention to prevent falls.

Choice B rationale

Raising four side rails while the patient is in bed is not a recommended practice. This could be considered a form of restraint and could increase the risk of injury if the patient attempts to climb over the rails.

Choice C rationale

Applying one soft wrist restraint is not a recommended practice for patients with dementia. Restraints should be used as a last resort and only when necessary for the patient’s safety.

Choice D rationale

Dimming the lights in the patient’s room is not a recommended practice to minimize the risk of injury in patients with dementia. Adequate lighting can help prevent falls and other accidents.

A. A lesion with uniform pigmentation. B. New appearance of petechiae. C. A mole with an asymmetrical appearance. D. The presence of a papule.

Correct Answer is C

Explanation

Choice A rationale

A lesion with uniform pigmentation is not typically a sign of skin malignancy. Most benign moles are uniform in color, including shades of tan, brown, and black.

Choice B rationale

The new appearance of petechiae, or small, pinpoint hemorrhages under the skin, is not typically associated with skin cancer. Petechiae can be a sign of a number of conditions, including certain infections, low platelet count, or certain medications.

Choice C rationale

A mole with an asymmetrical appearance is a potential indication of skin malignancy. Asymmetry, where one half of the mole does not match the other, is one of the ABCDEs (Asymmetry, Border irregularity, Color variation, Diameter greater than 6mm, and Evolving size, shape, or color) of melanoma detection.

Choice D rationale

The presence of a papule, a small, raised bump on the skin, is not necessarily indicative of skin cancer. Papules can be a sign of many different skin conditions, including acne, skin infections, or dermatitis.

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A nurse is caring for a client who is expressing anger about their diagnosis of colorectal cancer. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has dementia. What intervention should the nurse take to minimize the risk of injury to the patient?

Correct Answer is A

Explanation

A nurse is performing a skin assessment for a client who expresses concern about skin cancer.Which of the following findings should the nurse identify as a potential indication of a skin malignancy?

Correct Answer is C

Explanation

A nurse is caring for a client who has COPD.The following are the client’s vital signs: Temperature 38.6C (101.5° F), BP 114/86 mm Hg, Heart rate 99/min, Respiratory rate 32/min, Oxygen saturation 85% on room air.Which three findings require follow-up?

A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse.Which of the following actions should the nurse include?

A nurse is preparing to transfer a patient who can bear weight on one leg from the bed to a chair. After securing a safe environment, what should the nurse do next?

A nurse is providing discharge instructions to a patient who will be using a walker.Which of the following statements by the patient indicates that the teaching has been effective?

A nurse is examining a patient’s medication prescription which states, “digoxin 0.25 by mouth daily.”. Which component of the prescription should the nurse confirm with the healthcare provider?

A client with herpes zoster is inquiring about the use of complementary and alternative therapies for pain management.Which therapy should the nurse inform the client is contraindicated for their condition?

A nurse in a medical-surgical unit is caring for six clients. The nurse needs to assess the clients based on their conditions. Exhibits Based on the Nurses’ Notes, which client should the nurse assess first? Please select the correct client number from the choices below: