A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?
"I agree. Sometimes, the adverse effects can be worse than the disease"
"I will have your provider discuss the adverse effects with you before the treatment begins."
"What is it about the adverse effects that concerns you?"
"Someone from the American Cancer Society will be here soon to answer your questions
The Correct Answer is C
Rationale:
A. This response is nontherapeutic and discouraging, and it does not support the client emotionally or clarify her concerns.
B. While involving the provider is appropriate, deferring the conversation entirely fails to address the client’s immediate emotional needs.
C. Asking, “What is it about the adverse effects that concerns you?” is a therapeutic, open-ended response that encourages the client to express her feelings, allowing the nurse to provide support and individualized education.
D. Referring to the American Cancer Society is helpful, but it should not replace direct engagement and support from the nurse in the moment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Elevating the legs above the chest is not necessary or appropriate and could interfere with circulation or positioning after hip surgery.
B. Bending the knees is not contraindicated after hip replacement; hip flexion beyond 90 degrees is what should be avoided.
C. Avoiding adduction (bringing knees together or crossing legs) is essential after a hip prosthesis to prevent dislocation. This is a critical postoperative precaution emphasized in patient education.
D. Early mobilization and gentle activity are encouraged postoperatively to prevent complications like blood clots, not immobility.
Correct Answer is A
Explanation
Rationale:
A. Eating foods at room temperature helps reduce strong odors, which can trigger nausea in clients undergoing chemotherapy or radiation. This shows appropriate understanding.
B. Increasing unsaturated fats has no specific role in managing nausea and may even contribute to gastrointestinal discomfort.
C. While smaller meals are generally helpful, this statement is incomplete and less precise compared to option A. It lacks detail about food temperature or type.
D. Drinking large amounts of liquids with meals can contribute to feeling full too quickly and may worsen nausea. It’s better to drink fluids between meals.
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