A nurse is caring for an older adult client whose wife passed away a month ago with cardiac issues and is currently being treated for similar cardiac issues. He is tearful and states, "How could you possibly understand what I am going through?" Which of the following is an appropriate response by the nurse?

"You are right, I cannot really understand. Perhaps you would like to tell me more about what you are feeling."

"It takes time to get over the loss of a loved one."

"Why don't you try something to take your mind off your troubles?"

"I might not share your exact situation, but I do know what people go through when they deal with a loss."

Answer and Explanation

The Correct Answer is A

Choice A reason: This response acknowledges the client's feelings and validates their experience. It opens the door for the client to express their emotions and share their thoughts. This empathetic approach helps build trust and provides emotional support.

Choice B reason: Telling the client that it takes time to get over the loss of a loved one is a generalized statement that may not provide the support the client needs. It can come across as dismissive and may not encourage further conversation.

Choice C reason: Suggesting that the client try something to take their mind off their troubles can seem dismissive of their grief. It does not address the client's emotional needs or encourage them to talk about their feelings.

Choice D reason: While this response shows some understanding, it does not fully acknowledge the uniqueness of the client's situation. It is important to validate the client's feelings and encourage them to express their emotions.

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Correct Answer is B

Explanation

Choice A reason: Decreased central venous pressure is not typically associated with glomerulonephritis. This condition often leads to fluid retention and increased pressure within the blood vessels.

Choice B reason: Hypertension is a common manifestation of glomerulonephritis due to fluid retention and impaired kidney function. The kidneys are unable to excrete excess fluid, leading to increased blood pressure.

Choice C reason: Bradycardia is not typically associated with glomerulonephritis. The condition primarily affects kidney function and fluid balance, rather than heart rate.

Choice D reason: Decreased cardiac output can occur in severe cases of acute kidney injury, but it is not a primary manifestation of glomerulonephritis. Monitoring blood pressure and fluid status is more critical in these patients.

A. Beta blockers B. Fever C. Athletism D. Sleeping

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Beta blockers are medications that can slow the heart rate, leading to sinus bradycardia. They are often prescribed for managing hypertension, arrhythmias, and other cardiovascular conditions. They work by blocking the effects of adrenaline on the heart, which reduces heart rate and blood pressure.

Choice B reason: Fever typically causes an increase in heart rate (tachycardia) rather than a decrease. The body's metabolic rate increases to fight infection, resulting in a higher heart rate.

Choice C reason: Athletism can result in sinus bradycardia because athletes often have a lower resting heart rate due to the increased efficiency of their cardiovascular system. Their hearts pump more effectively, requiring fewer beats per minute to circulate blood throughout the body.

Choice D reason: Sleeping naturally leads to a slower heart rate due to the relaxation of the body and reduced metabolic demands during rest. Sinus bradycardia during sleep is generally considered normal and not a cause for concern.

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Naxlex Comprehensive Predictor Exams

A client diagnosed with glomerulonephritis is at risk for developing acute kidney injury. Which of the clinical manifestations should the nurse monitor for?

Correct Answer is B

Explanation

There are several factors that may cause a patient to present with sinus bradycardia. What are some causes of sinus bradycardia? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A nurse is monitoring a client post-hypophysectomy. Which assessment finding is most important to report to the health care provider?

A client diagnosed with Parkinson's disease is struggling to adjust to the condition. The nurse educates the family on supporting the client with activities of daily living. Which statement by the family indicates that the teaching was effective?

The nurse realizes that which clients are at risk for intra-renal injury? (Select all that apply)

A client diagnosed with acute kidney injury has an elevated blood urea nitrogen (BUN) and is experiencing difficulty remembering information. Which interventions should the nurse implement when communicating with this client? (Select all that apply)

In reviewing a 50-year-old client's medical record, which clinical manifestation should the nurse plan to assess for?

A client newly diagnosed with angina pectoris has taken two sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client now reports a headache. The nurse interprets that this most likely represents which response?

The nurse is preparing the client assignments for the day to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which client should the nurse assign to the LPN? (Select all that apply)