A nurse is playing a board game with a client who suddenly becomes upset. The client throws the game on the floor and says, "I don't want to play anymore.”. What is the nurse's best response to this behavior?

"I'll help you pick up the pieces of the game, and then we'll play another game a little later.".

"What's wrong? Haven't you ever lost a game before?".

"I am sure you'll win the next game.".

"Other children will not want to play with you if you act like that.".

Answer and Explanation

The Correct Answer is A

Choice A rationale:

This response acknowledges the client's feelings, addresses the immediate situation, and offers an alternative without judgment.

Choice B rationale:

Asking "What's wrong? Haven't you ever lost a game before?”. might come across as dismissive and insensitive to the client's emotions.

Choice C rationale:

Simply saying "I am sure you'll win the next game”. minimizes the client's feelings and does not address the current situation.

Choice D rationale:

Telling the client that "other children will not want to play with you if you act like that”. is a negative and shaming response, which is counterproductive to building a therapeutic relationship.

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Correct Answer is C

Explanation

Choice A rationale:

Allowing a pacifier is appropriate and unrelated to the procedure.

Choice B rationale:

Feeding before the procedure helps prevent dehydration and maintains the infant's well-being.

Choice C rationale:

Bathing immediately after the procedure can introduce infection risk through the catheterization site. Waiting a day is advisable.

Choice D rationale:

Counting wet diapers helps monitor hydration post-procedure; it's a valid concern. In each case, the correct choices were determined by logical reasoning and adherence to medical guidelines. It's important for healthcare providers to educate patients and caregivers to ensure the best outcomes for patients' health and well-being.

A. Pancreatic enzymes. B. Gentamicin. C. Albuterol. D. Carbenicillin.

Correct Answer is B

Explanation

Choice A rationale:

Pancreatic enzymes are used to aid in digestion and are not known to interact significantly with serum creatinine levels. Therefore, they are unlikely to be contraindicated based solely on an elevated serum creatinine level.

Choice B rationale:

Gentamicin is an aminoglycoside antibiotic that is primarily eliminated by the kidneys. Elevated serum creatinine levels indicate potential renal impairment, which could lead to reduced drug clearance and an increased risk of gentamicin toxicity, including nephrotoxicity and ototoxicity. Consulting the health care provider before administering gentamicin is important to ensure the appropriateness of the medication dosage and regimen.

Choice C rationale:

Albuterol is a bronchodilator commonly used to treat respiratory conditions. Serum creatinine levels are not directly related to albuterol administration. It is unlikely that an elevated serum creatinine level would significantly affect the administration of albuterol.

Choice D rationale:

Carbenicillin is an antibiotic that is excreted through the kidneys. While renal function may impact the dosing of carbenicillin, an elevated serum creatinine level alone may not necessarily warrant consultation with the health care provider. Other factors such as the severity of renal impairment and the patient's overall condition would need to be considered.

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A nurse is playing a board game with a client who suddenly becomes upset. The client throws the game on the floor and says, "I don't want to play anymore.”. What is the nurse's best response to this behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 2-day-old infant suspected of having an atrioventricular canal defect is scheduled for a cardiac catheterization in two hours. Prior to the cardiac catheterization, the caregiver makes several statements to the nurse. Which statement by the mother would indicate a need for further education?

Correct Answer is C

Explanation

A patient has an elevated serum creatinine level. Based on this information, the nurse should consult with the health care provider before administration of which medication?

Correct Answer is B

Explanation

A nurse is caring for a client with a plaster hip spica cast. What measure would best protect the cast from being soiled by urine and feces?

When a 9-year-old child feels nauseous and vomits after a cardiac catheterization, which is the priority nursing intervention?

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The nurse plans to begin teaching a 7-year-old patient and the child's mother about diabetes management. Which action should the nurse take initially?

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The nurse is caring for a pediatric patient receiving digoxin therapy. Which assessment finding would indicate digoxin toxicity?

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