A nurse is caring for a client who is grieving over the death of his child. Which of the following statements should the nurse make?

"It is important to stay strong for your family during this time."

"Everyone grieves in their own time."

"You have been through a difficult time."

"It seems like you have been grieving for a long time."

Answer and Explanation

The Correct Answer is C

A. "It is important to stay strong for your family during this time.": Grief is a personal process, and it is essential for the client to feel supported in expressing their emotions without feeling the need to "stay strong" for others.

B. "Everyone grieves in their own time.": The nurse should acknowledge the client's grief and provide empathetic support rather than making generalized statements. Grief may not always follow a predictable timeline, and the client may need validation for their unique process.

C. "You have been through a difficult time.": It acknowledges the pain and difficulty the client has experienced without making assumptions. It provides validation and shows empathy, which can help the client feel understood and supported.

D. "It seems like you have been grieving for a long time.": This statement could minimize the client’s emotional experience. Grief is a complex, ongoing process that may not be measured by time, so it is better to focus on offering support.

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Correct Answer is B

Explanation

A. Monitor the client for an elevated RBC count: An elevated RBC count is not typically associated with appendicitis. The focus is on elevated white blood cell (WBC) counts, as the body is responding to infection or inflammation.

B. Instruct the client to not eat food or drink liquids: This is critical for a client suspected of appendicitis. The client should be NPO (nothing by mouth) in case surgery is required. Eating or drinking could complicate anesthesia or lead to aspiration during surgery.

C. Maintain the client in a supine position: While the supine position may be used, it is not always the best for appendicitis. The client may feel more comfortable lying on their side or in a semi-Fowler’s position to reduce abdominal pressure.

D. Administer an enema to the client: Administering an enema is contraindicated in suspected appendicitis. It could increase the risk of perforation if the appendix is inflamed or ruptured. The focus should be on avoiding further irritation or pressure.

A. "Apply dry heat to help the lesions scab over." B. "Take three sitz baths each day to alleviate symptoms." C. "You can resume intercourse with the use of natural membrane condoms." D. "Apply talcum powder to the perineal area to help the lesions dry."

Correct Answer is B

Explanation

A. "Apply dry heat to help the lesions scab over.": Applying dry heat is not recommended for herpes simplex virus (HSV) lesions. Heat can irritate the lesions and worsen symptoms. Cool compresses are generally more soothing for HSV lesions.

B. "Take three sitz baths each day to alleviate symptoms.": Sitz baths, particularly with warm (not hot) water, can help soothe the pain and discomfort associated with genital herpes outbreaks. It also helps to keep the affected area clean.

C. "You can resume intercourse with the use of natural membrane condoms.": Natural membrane condoms are not effective in preventing the transmission of HSV. Latex or polyurethane condoms should be used if sexual activity is resumed, and it is generally advised to avoid intercourse during an outbreak to reduce the risk of transmission.

D. "Apply talcum powder to the perineal area to help the lesions dry.": Talcum powder is not recommended for herpes lesions as it can irritate the skin and potentially worsen the condition. The area should be kept clean and dry without irritating substances.

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A nurse is caring for a client who is grieving over the death of his child. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a client who has suspected appendicitis. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a female client who has the communicable disease herpes simplex virus II. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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