A nurse is caring for a client who is scheduled to undergo abdominal surgery and tells the nurse that he is very anxious about the operation. Which of the following actions should the nurse take?

Distract the client by giving him reading material.

Suggest that he take a walk around the unit.

Ask him to describe his concerns.

Refer him to the spiritual care team.

Answer and Explanation

The Correct Answer is C

A. Distract the client by giving him reading material. Distraction may not address the underlying anxiety and could delay processing the client's concerns about the surgery.

B. Suggest that he take a walk around the unit. While walking can help with anxiety in some patients, it does not directly address the client's expressed concern about the surgery itself.

C. Ask him to describe his concerns. The nurse should acknowledge the patient's feelings by encouraging them to express their concerns. This helps reduce anxiety and provides valuable information for further support.

D. Refer him to the spiritual care team. While spiritual care may be beneficial later, it’s essential to first address the patient’s immediate concerns before referring them to other services.

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Correct Answer is A

Explanation

A. Atelectasis. Atelectasis is the collapse of alveoli due to hypoventilation, which commonly occurs postoperatively, especially in the lung bases.

B. Rales. Rales (crackles) are abnormal lung sounds associated with fluid in the alveoli, commonly seen in conditions like pneumonia or pulmonary edema, not atelectasis.

C. Rhonchi. Rhonchi are low-pitched sounds caused by mucus in the airways, often seen in chronic bronchitis or COPD.

D. Pneumothorax. Pneumothorax presents with absent breath sounds on one side, not bilaterally in the lung bases.

A. to relieve pain or complication without caring B. voluntary C. own, originating within an individual D. artificial body part

Correct Answer is C

Explanation

A. To relieve pain or complication without caring: This definition does not align with the meaning of "autologous." It is not related to relieving pain or complications.

B. Voluntary: "Voluntary" refers to an action taken by choice, but this is not the definition of "autologous."

C. Own, originating within an individual: "Autologous" refers to something that originates from the same individual. For example, autologous blood donation means the patient donates their own blood for later use.

D. Artificial body part: An artificial body part refers to a prosthesis, not something autologous. Autologous refers to the self, such as autologous tissue or stem cells.

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A nurse is caring for a client who is scheduled to undergo abdominal surgery and tells the nurse that he is very anxious about the operation. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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