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 D

Explanation

A. Increased systemic vascular resistance is more characteristic of obstructive or cardiogenic shock rather than distributive shock.

B. Loss of blood volume describes hypovolemic shock, not distributive shock.

C. Loss of myocardial contractility pertains to cardiogenic shock, not distributive shock.

D. Distributive shock is characterized by systemic vasodilation leading to a decrease in systemic vascular resistance and inadequate tissue perfusion.

A. Constipation B. Bleeding C. Insomnia D. Blurred vision

Correct Answer is B

Explanation

A. Constipation is not a common adverse effect of aspirin therapy; gastrointestinal upset or irritation is more likely.

B. Aspirin can increase the risk of bleeding due to its antiplatelet effects. Clients should monitor for signs of bleeding, such as easy bruising, blood in stool, or prolonged bleeding from cuts.

C. Insomnia is not typically associated with aspirin use.

D. Blurred vision is not a common side effect of aspirin, but if visual disturbances occur, the client should report them to their healthcare provider.

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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 and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

Correct Answer is D

Explanation

A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

Correct Answer is B

Explanation

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