A nurse is caring for a client who was recently diagnosed with breast cancer. The client states, "I feel so alone. I don't know how I will be able to deal with this." Which of the following responses should the nurse make?

"Most people in your situation are able to get through this."

"Why do you think you're feeling so alone?"

"Do you have anyone you can talk to about your diagnosis?"

"I am so sorry about your diagnosis. You must be devastated."

Answer and Explanation

The Correct Answer is C

A. "Most people in your situation are able to get through this.": This statement is dismissive and may minimize the client’s feelings, as it generalizes the experience.

B. "Why do you think you're feeling so alone?": Asking "why" may make the client feel defensive and pressured to justify their feelings, which is not therapeutic.

C. "Do you have anyone you can talk to about your diagnosis?" This response encourages the client to reflect on their support system, which may help reduce feelings of isolation. It also shows empathy and invites further conversation without making assumptions.

D. "I am so sorry about your diagnosis. You must be devastated.": While it shows sympathy, it assumes the client’s feelings and may inadvertently heighten the client’s sense of distress without providing support.

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Correct Answer is D

Explanation

A. A client who has pneumonia: Pneumonia typically requires droplet precautions, not airborne.

B. A client who has shigella: Shigella is transmitted through the fecal-oral route, so contact precautions would be appropriate.

C. A client who has strep throat: Streptococcal infections are spread by droplets, so droplet precautions are indicated, not airborne.

D. A client who has tuberculosis: Tuberculosis (TB) is spread via airborne droplets, so airborne precautions are necessary to prevent transmission.

A. Positive skin hypersensitivity test. B. Positive Rovsing sign. C. Psoas sign. D. Positive Obturator sign.

Correct Answer is B

Explanation

A. Positive Skin Hypersensitivity Test: This is incorrect as it typically involves pain or discomfort with light touch, unrelated to rebound tenderness.

B. Positive Rovsing Sign: A positive Rovsing sign occurs when pain is felt in the right lower quadrant upon palpation of the left lower quadrant, indicating possible appendicitis.

C. Psoas Sign: This is elicited by extending the hip, and a positive sign indicates irritation of the iliopsoas muscle, often seen in appendicitis.

D. Positive Obturator Sign: This involves internal rotation of the hip, also used in appendicitis assessments but involves different positioning.

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A nurse is caring for a client who was recently diagnosed with breast cancer. The client states, "I feel so alone. I don't know how I will be able to deal with this." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?

Correct Answer is D

Explanation

A client comes to the emergency department complaining of pain in the right lower quadrant. Rebound tenderness is present, and the nurse assesses the client for referred rebound experiences. The client experiences pain the right lower quadrant. How would the nurse document this finding?

Correct Answer is B

Explanation

A nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect?

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The absence of bowel sounds is established after listening for:

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