A nurse is caring for a client who was recently admitted to an inpatient mental health unit. The client tells the nurse that he is not coming out of his room anymore because other clients on the unit make fun of him. Which of the following responses by the nurse is appropriate?

"I think you should just ignore the others."

"You feel upset by the responses of others."

"Let's keep the focus of our discussion on your needs."

"Everything will get better once you get to know everyone."

Answer and Explanation

The Correct Answer is B

A.   Telling the client to ignore others minimizes their feelings and does not address the underlying issue of bullying or social discomfort.
B.   Validating the client's feelings acknowledges their emotions and demonstrates empathy, which can help build trust and rapport with the client.
C.   While it's important to address the client's needs, dismissing their concerns about social interactions may contribute to feelings of isolation and neglect.
D.   Offering reassurance without addressing the client's current distress may invalidate their feelings and overlook the need for support and intervention in the present moment.

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Correct Answer is A

Explanation

A. A client who has a new onset of chest pain requires immediate assessment and intervention by an RN or healthcare provider with appropriate training and licensure due to the potential seriousness of the condition. Assessing and managing chest pain typically involves performing an ECG, administering medications, and coordinating further diagnostic tests or interventions, which are typically within the scope of practice of an RN or higher.
B. A client who has a tracheostomy may require routine tracheostomy care and suctioning, which are within the scope of practice of an LPN under the supervision of an RN or healthcare provider.
C. A client who is receiving enteral feedings may require monitoring of feeding tube placement, administration of enteral feedings, and assessment for complications related to enteral nutrition, which are within the scope of practice of an LPN.
D. A client who has urinary retention may require urinary catheterization or bladder scan assessment, which are within the scope of practice of an LPN under the supervision of an RN or healthcare provider.

A. Splenomegaly B. Abdominal pain C. Irregular heart rate D. Tarry stools

Correct Answer is B

Explanation

A. Splenomegaly is not typically associated with hepatitis A. Hepatitis A primarily affects the liver and does not usually result in enlargement of the spleen.
B. Abdominal pain is a common symptom of hepatitis A. It can range from mild discomfort to severe pain in the right upper quadrant of the abdomen, where the liver is located.
C. Hepatitis A does not typically cause irregular heart rate. The cardiovascular system is generally unaffected by hepatitis A infection.

D. Tarry stools, also known as melena, typically result from upper gastrointestinal bleeding and are not a characteristic symptom of hepatitis A.

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A nurse is caring for a client who was recently admitted to an inpatient mental health unit. The client tells the nurse that he is not coming out of his room anymore because other clients on the unit make fun of him. Which of the following responses by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing client care assignments prior to the beginning of a shift. Which of the following client assignments should the nurse identify as being outside the scope of practice for an LPN?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client who has a new prescription for furosemide and asks the nurse about the purpose of the medication. The nurse states, "This medication is a diuretic that removes excess fluid from your body." Which of the following ethical concepts is the nurse exhibiting?

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