A nurse is caring for a client who reports feeling anxious about abdominal surgery the next day. Which of the following actions should the nurse plan to take?

Suggest that the client talk to his provider.

Encourage the client to verbalize his concerns.

Ask the client to focus on the current day's care tasks.

Explain to the client that there is no need to worry.

Answer and Explanation

The Correct Answer is B

A. While involving the provider might be helpful, it is not the first action the nurse should take. Addressing the client’s immediate emotional needs is crucial.

B. Encouraging the client to verbalize concerns is a key therapeutic communication technique. It allows the client to express anxiety, which can reduce fear and help the nurse provide reassurance and support.

C. Asking the client to focus on current tasks might distract them temporarily but does not address the underlying anxiety about the surgery.

D. Telling the client there is no need to worry dismisses their feelings and may increase anxiety.

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Correct Answer is C

Explanation

A. Discussing rest times with the family is important but is not the priority in managing MODS.

B. Keeping the client and family informed is crucial, but the priority is to understand and respect the client's wishes regarding their care.

C. In a client with MODS, understanding and respecting the client’s wishes, particularly regarding end-of-life care, is the priority. This ensures that care aligns with the client’s values and goals.

D. Scheduling rest is essential for managing fatigue and conserving energy but does not take precedence over respecting the client's care preferences.

A. Allow the client to consume clear liquids up to the time of surgery. B. Allow the client to keep her tongue stud in. C. Allow the client to take her morning vitamins. D. Allow the client to keep her hearing aids in.

Correct Answer is D

Explanation

A. Consuming clear liquids up to the time of surgery is generally not allowed due to the risk of aspiration during anesthesia.

B. Tongue studs and other jewelry should be removed before surgery to prevent injury or interference with medical equipment.

C. Taking morning vitamins before surgery is typically not permitted unless specifically allowed by the healthcare provider, as they can affect anesthesia or surgical outcomes.

D. Allowing the client to keep her hearing aids in until the last possible moment helps with communication, reduces anxiety, and ensures the client can hear important information during pre-operative preparations.

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A nurse is caring for a client who reports feeling anxious about abdominal surgery the next day. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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