A nurse is preparing to discharge an older adult patient who had a mastectomy several months ago. The client tells the nurse that she has not had much desire for sexual relations since her surgery, stating, "my body is so different now." Which of the following is an appropriate response by the nurse?

"It is still too soon to expect to feel normal. Give it a few more years."

"Really, you look just fine to me. There's no need to feel undesirable."

"Consider an afternoon at the spa. A facial will make you feel more attractive."

"I'm interested in finding out more about how your body feels to you."

Answer and Explanation

The Correct Answer is D

Choice A reason: Telling the client it is too soon to expect to feel normal and to give it a few more years dismisses her feelings and provides an unrealistic timeline. It is not supportive or empathetic.

Choice B reason: Saying "Really, you look just fine to me. There's no need to feel undesirable" invalidates the client's feelings and does not address her concerns about her body image and sexual desire.

Choice C reason: Suggesting an afternoon at the spa and a facial to make her feel more attractive trivializes the client's emotional and physical experience post-surgery. It does not provide meaningful support or address the underlying issues.

Choice D reason: Expressing interest in how the client's body feels to her validates her feelings and opens up a dialogue for her to share her concerns. This approach is empathetic and allows the nurse to provide better support and address any issues the client might have.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Choice A reason: Verapamil is a calcium channel blocker used to manage rapid atrial fibrillation. It works by slowing down the conduction of electrical impulses in the heart, helping to control the heart rate.

Choice B reason: Adenosine is used to treat supraventricular tachycardia (SVT) but is not typically used for atrial fibrillation.

Choice C reason: Nitroglycerin is used to relieve chest pain (angina) by dilating the blood vessels but is not used to treat atrial fibrillation.

Choice D reason: Atropine is used to treat bradycardia (slow heart rate) and is not used for atrial fibrillation.

A. Symmetrical joint pain that is relieved with rest B. Unilateral pain in the weight-bearing joints C. Symmetrical joint pain D. Hypoglycemia

Correct Answer is C

Explanation

Choice A reason: Symmetrical joint pain that is relieved with rest is more characteristic of osteoarthritis, not rheumatoid arthritis. RA typically involves persistent, symmetrical joint pain and inflammation.

Choice B reason: Unilateral pain in the weight-bearing joints is not characteristic of RA. Rheumatoid arthritis generally affects joints symmetrically on both sides of the body.

Choice C reason: Symmetrical joint pain is a hallmark of rheumatoid arthritis. RA causes inflammation and pain in multiple joints, typically affecting the same joints on both sides of the body.

Choice D reason: Hypoglycemia is not related to rheumatoid arthritis. RA primarily involves joint inflammation and systemic symptoms like fatigue and fever but does not directly impact blood sugar levels.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client on the unit is diagnosed with rapid atrial fibrillation. Which medication is the healthcare provider likely to prescribe to correct this rhythm?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

The nursing student is asked by the preceptor what are the expected findings of the Rinne test. What statement by the nursing student is correct?

The night nurse in the cardiac ICU has just received a report on several patients. Which of the following clients should the nurse prioritize for rounds?

A nurse is assessing a client who has a suspected diagnosis of Guillain-Barré syndrome (GBS). Which of the following questions should the nurse ask the client?

A client diagnosed with angina pectoris appears to be very anxious and states, "So I had a heart attack, right?" Which response should the nurse make to the client?

A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take?

The nurse is caring for a client post-thyroidectomy that is showing clinical manifestations of hypocalcemia. Which of the following would the nurse expect to find during the assessment?

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 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)