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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5"]
Explanation
To calculate the volume of morphine injection required to administer a dose of 15 mg when the available concentration is 10 mg/mL, the nurse should use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). Plugging in the values, the calculation would be: Volume (mL) = 15 mg / 10 mg/mL. This simplifies to 1.5 mL.
Correct Answer is D
Explanation
A. Activation of the inflammatory cascade in SIRS typically leads to decreased perfusion and tissue damage due to widespread inflammation and capillary leakage.
B. SIRS can affect multiple organs, but it is particularly known for impacting the lungs and kidneys rather than the heart.
C. While SIRS can involve coagulation issues, these are not specifically due to spleen dysfunction but rather to the widespread inflammatory response.
D. SIRS is driven by a deregulated cytokine storm, which leads to an excessive and uncontrolled inflammatory response, potentially resulting in multiple organ failure.
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