A nurse is caring for a client who is newly diagnosed with acute lymphocytic leukemia, that is visibly distraught, stating, "I have no idea where to go from here." How should the nurse prepare to meet this client's psychosocial needs?
Assess the client's previous experience with the health care system.
Reassure the client that treatment will be challenging but successful.
Assess the client's specific needs for education and support.
Identify the client's plan of medical care.
The Correct Answer is C
A. Assess the client's previous experience with the health care system: While understanding the client's past experiences can be helpful, the priority is to assess the immediate emotional and informational needs of the client who is newly diagnosed with acute lymphocytic leukemia.
B. Reassure the client that treatment will be challenging but successful: While offering reassurance is important, it may not be appropriate to provide such definitive reassurance until the client has more information about their treatment options and prognosis.
C. Assess the client's specific needs for education and support: By assessing the client’s specific needs for education, emotional support, and understanding of the treatment plan, the nurse can provide personalized care and resources to help the client cope with their diagnosis.
D. Identify the client's plan of medical care: While understanding the treatment plan is important, this should come after addressing the client’s immediate psychosocial needs. The nurse’s role is to first provide emotional support and education about the disease and treatment options.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Auscultate lung fields: Auscultating the lungs is important for assessing the condition of the lungs, but it is not the first action. Vital signs should be assessed first to ensure the client is stable before proceeding with any treatment or procedure.
B. Assess pulse and respirations: This is the first step in preparing the client for percussion, vibration, and postural drainage. Assessing the pulse and respirations ensures that the client is hemodynamically stable and able to tolerate the procedure.
C. Assess characteristics of her sputum: While evaluating the sputum is important for monitoring the effectiveness of treatment, it is not the first action to take. Ensuring the client’s respiratory status is stable is the priority.
D. Instruct to slowly exhale with pursed lips: While this technique can help with breathing and promoting airway clearance, it is not the first step before performing percussion and drainage. The client’s vital signs should be checked first to ensure they are stable enough for the procedure.
Correct Answer is ["A","B","D","E"]
Explanation
A. Positive ANA titer: A positive antinuclear antibody (ANA) test is a hallmark finding in systemic lupus erythematosus (SLE). It indicates the presence of autoantibodies that attack the body's own tissues and is commonly seen in SLE patients.
B. Elevated BUN: Elevated blood urea nitrogen (BUN) is common in SLE patients, particularly if the kidneys are involved, which can lead to lupus nephritis. This is consistent with the client's reported difficulty urinating, which may suggest kidney involvement.
C. Increased hemoglobin: Hemoglobin is typically decreased in SLE due to various factors such as chronic inflammation, kidney involvement (leading to decreased erythropoietin production), or autoimmune hemolytic anemia where the immune system attacks red blood cells.
D. 2+ urine protein: Proteinuria is a common finding in SLE, particularly when kidney involvement (lupus nephritis) occurs. It indicates kidney damage or dysfunction, which aligns with the client's reported difficulty urinating.
E. Decreased serum C3 and C4: Complement levels, particularly C3 and C4, are often decreased in SLE due to their consumption during immune complex formation and inflammatory processes. This is a typical laboratory finding in active SLE.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.