A nurse is caring for a client who is scheduled for cataract surgery. The client states, "I see Just fine and have decided to cancel my surgery." Which of the following responses should the nurse make?

"I think you will regret it if you don't have this surgery."

"It's too late to cancel your cataract surgery."

"This surgery is painless, so you shouldn't worry."

"Share with me more about the thoughts that are concerning you.”

Answer and Explanation

The Correct Answer is D

A. "I think you will regret it if you don't have this surgery." – This is non-therapeutic and pressures the client rather than encouraging discussion.

B. "It's too late to cancel your cataract surgery." – This is false information; clients have the right to refuse treatment at any time.

C. "This surgery is painless, so you shouldn't worry." – This minimizes the client’s concerns and dismisses their feelings.

D. "Share with me more about the thoughts that are concerning you." – This therapeutic response encourages the client to express their concerns, allowing the nurse to address them appropriately.

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Correct Answer is C

Explanation

A. Dry skin: More commonly associated with dehydration or skin conditions, not a direct response to stress.

B. Increased urinary output: Stress usually triggers the release of antidiuretic hormone (ADH), leading to decreased urinary output rather than an increase.

C. Dilated pupils: Stress activates the sympathetic nervous system (fight-or-flight response), leading to pupil dilation to enhance vision in a perceived emergency.

D. Hyperactive bowel sounds: Stress can affect digestion, but it is more commonly associated with nausea, not necessarily hyperactive bowel sounds.

A. Increase in subcutaneous tissue B. Decrease in pigmentation C. Increase in moisture levels D. Decrease in elasticity

Correct Answer is D

Explanation

A. Increase in subcutaneous tissue. Aging is associated with a decrease in subcutaneous fat, especially in the face, hands, and lower extremities, leading to thinner and more fragile skin.

B. Decrease in pigmentation. While some areas may lose pigmentation (e.g., hair turning gray), the skin often develops age spots or hyperpigmentation due to prolonged sun exposure.

C. Increase in moisture levels. Aging skin produces less sebum, leading to dryness rather than increased moisture.

D. Decrease in elasticity. Collagen and elastin fibers in the skin break down over time, leading to decreased skin elasticity, which contributes to wrinkles and sagging.

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A nurse is caring for a client who is scheduled for cataract surgery. The client states, "I see Just fine and have decided to cancel my surgery." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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