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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Rationale:
A. Frequent neurovascular assessments—checking circulation, movement, and sensation in the toes—are essential to detect early signs of complications such as compartment syndrome, impaired perfusion, or nerve damage. This is the priority nursing action.
B. Traction is not routinely applied with a long leg cast unless specifically ordered for a separate condition.
C. Heat and cold therapy should not be applied directly to a cast due to risk of skin injury and inability to accurately assess temperature through the cast material.
D. Complete bed rest is not necessary for most clients with a leg cast and can increase the risk of complications such as deep vein thrombosis and deconditioning.

A. "Keep your legs higher than your chest whenever you can B. "Try to avoid bending your knees until next week" C. "Make sure you don't bring your knees close together or cross them." D. "Try to lie as still as possible for the first few days"

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the most important nursing care aspect for a client with a new long leg cast?

Correct Answer is A

Explanation

A client was brought to the emergency department after a fall and is now being taken to the operating room for a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize?

Correct Answer is C

Explanation

What nursing intervention should the nurse prioritize to prevent the complication of hip displacement in a client who has suffered a hip fracture?

The nurse is teaching self-care to a client with a newly applied cast to the forearm. Which of the following does the nurse instruct the client to notify the practitioner immediately?

A nurse is caring for a client who has undergone a total hip replacement. The nurse reviews health education with the patient before discharge. Which of the client's statements would indicate to the nurse that the client requires further teaching?

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The nurse is caring for a hospitalized client who has not had a bowel movement in 3 days and reports abdominal discomfort. Which nursing intervention is most appropriate to address the client's constipation?

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A nurse is providing discharge teaching to a client undergoing chemotherapy who has developed neutropenia. Which of the following statements by the nurse is appropriate to include in the teaching?