A nurse is caring for a client who reports bilateral knee pain after hiking this past weekend in the mountains on rough ground. He says he is concerned because his cousin died from bone cancer recently. Which of the following actions should the nurse take?
Ask the client why he thinks the pain isn’t a result of hiking.
Tell the client that it is unlikely that he has bone cancer.
Suggest genetic testing so the client can understand his risks.
Explain that the provider will see him and determine a course of action.
The Correct Answer is D
Choice A reason: Asking the client why he thinks the pain isn’t from hiking may come across as dismissive and could heighten his anxiety. It does not address his concerns constructively or facilitate a medical evaluation to determine the cause of the pain.
Choice B reason: Reassuring the client that bone cancer is unlikely without a medical evaluation is inappropriate, as it may minimize his concerns and delay necessary assessment. The nurse should avoid making diagnostic assumptions without provider input.
Choice C reason: Suggesting genetic testing is premature without a medical evaluation to determine if the pain warrants such testing. The client’s pain is likely related to hiking, and a provider’s assessment should guide any further diagnostic steps.
Choice D reason: Explaining that a provider will evaluate the client and determine the next steps is the most appropriate action. This response validates the client’s concerns, ensures a professional assessment of the knee pain, and provides a clear path forward without making assumptions about the cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:Recognizing situations that trigger anxiety is a key strategy in managing chronic anxiety. By identifying these triggers, the client can develop coping mechanisms, such as relaxation techniques or cognitive-behavioral strategies, to reduce the impact of anxiety and prevent escalation.
Choice B reason:Completely eliminating stress and anxiety from daily life is unrealistic, as stress is a normal part of life. Instead, the focus should be on managing anxiety through coping strategies, therapy, or medication, rather than expecting to eliminate it entirely.
Choice C reason:While contacting a crisis counselor may be helpful in acute situations, routine weekly contact is not typically part of a discharge plan for chronic anxiety unless specified for ongoing therapy. The focus should be on self-management and regular follow-up with a mental health provider.
Choice D reason:Repressing feelings of anxiety is counterproductive and can worsen symptoms over time. Effective anxiety management involves acknowledging and processing emotions, often through techniques like mindfulness or therapy, rather than suppressing them.
Correct Answer is A
Explanation
Choice A reason: Administering 300 mg three times daily equals 900 mg total (300 mg × 3 = 900 mg).
Choice B reason: 300 mg represents only one dose, not the total for 24 hours.
Choice C reason: 1200 mg would be 300 mg four times daily, which is more than prescribed.
Choice D reason: 600 mg equals 300 mg twice daily, not the correct order.
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