A nurse is caring for a client who is postoperative and has a PCA pump for pain management. The client states, "I have concerns about my pain pump." Which of the following responses should the nurse make?
"You shouldn't be concerned because the pump is very easy to use."
"We can talk more about your worries regarding your pump if you'd like."
"We use these pumps all the time after surgery, and they work great."
"Your provider wouldn't prescribe this pump if it wasn't the best option for you."
The Correct Answer is B
A. "You shouldn't be concerned because the pump is very easy to use.": This dismisses the client’s concerns and minimizes their feelings. It does not provide an opportunity for the client to express specific worries or receive education.
B. "We can talk more about your worries regarding your pump if you'd like.": This response acknowledges the client’s concerns and invites further discussion. It promotes trust, encourages open communication, and allows the nurse to provide clarification or teaching.
C. "We use these pumps all the time after surgery, and they work great.": While intended to reassure, this response generalizes and fails to address the client’s individual concerns. It may leave the client feeling unheard or invalidated.
D. "Your provider wouldn't prescribe this pump if it wasn't the best option for you.": This shifts responsibility to the provider and avoids addressing the client’s immediate concerns. It does not promote patient-centered communication or therapeutic interaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Schedule the client as the last surgery of the day: Clients with latex allergy should ideally be scheduled as the first surgery of the day to minimize exposure to latex particles that may accumulate in the air and environment. Scheduling last increases exposure risk.
B. Notify ancillary departments of the client's allergy: Informing all relevant departments, such as pharmacy, radiology, and laboratory services, ensures that latex-free supplies are used consistently throughout the client’s care. This prevents accidental exposure to latex-containing products.
C. Label the surgical suite as latex-free: Clearly labeling the operating room reduces the risk of staff inadvertently bringing in latex products. It promotes team-wide awareness and helps maintain a safe surgical environment for the client.
D. Provide powdered gloves for the staff's use: Powdered latex gloves are contraindicated because they release latex proteins into the air, which increases the risk of allergic reactions. Only non-latex, powder-free gloves should be provided.
E. Ensure a latex allergy cart is available: Having a latex allergy cart stocked with latex-free supplies ensures that all necessary items are available during the procedure. This reduces delays and eliminates the need to search for suitable equipment during surgery.
Correct Answer is "{\"xRanges\":[33.882846916299556,42.693419603524234],\"yRanges\":[29.535864978902953,37.9746835443038]}"
Explanation
A. Throat/Pharynx area: The gag reflex must be checked before giving fluids. Anesthetics used during bronchoscopy suppress the gag and cough reflex, which places the client at high risk of aspiration. Assessing the throat for return of reflexes ensures safe swallowing.
B. Head/Brain area: Assessing the brain is not necessary prior to resuming oral intake after bronchoscopy. Neurological function is important overall, but it does not determine whether the swallowing reflex has returned and if the client can safely manage oral fluids.
C. Mouth/Lips: Examining the lips or oral cavity may reveal dryness, bleeding, or trauma, but it does not determine readiness for fluids. The risk of aspiration persists unless gag reflex recovery is confirmed.
D. Chest/Lungs area: Assessing lung sounds is important for evaluating complications such as bronchospasm or pneumothorax, but this does not confirm readiness for oral intake. Aspiration risk remains the main concern until gag reflex recovery is established.
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