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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Correct Answer is C

Explanation

Choice A reason: The statement "Use of eye drops will improve vision over time" is incorrect. Eye drops for glaucoma help to manage intraocular pressure but do not typically improve vision. They are used to prevent further vision loss.

Choice B reason: The statement "Double vision is a common symptom of glaucoma" is incorrect. Double vision is not a typical symptom of glaucoma. Glaucoma primarily affects peripheral vision.

Choice C reason: The statement "Without treatment, glaucoma can cause blindness" is accurate. Glaucoma is a leading cause of blindness if not treated properly. Managing intraocular pressure is crucial to prevent damage to the optic nerve.

Choice D reason: The statement "Glaucoma is caused by inadequate production of fluid within the eye" is incorrect. Glaucoma is usually caused by increased intraocular pressure due to inadequate drainage of the aqueous humor within the eye.

A. An expected side effect of the medication B. An allergic reaction to the nitroglycerin C. A sign that the medication should not be used again D. An indication of worsening cardiac condition

Correct Answer is A

Explanation

Choice A reason: A headache is a common and expected side effect of nitroglycerin. Nitroglycerin causes vasodilation, which can lead to increased blood flow to the head and result in headaches. It is important to inform the client that this is a known side effect and to manage it with appropriate measures, such as taking analgesics.

Choice B reason: An allergic reaction to nitroglycerin would typically present with symptoms such as rash, itching, swelling, or difficulty breathing. A headache alone does not indicate an allergic reaction.

Choice C reason: A headache does not mean the medication should not be used again. It is a common side effect, and the benefits of nitroglycerin in relieving chest pain usually outweigh the discomfort of the headache. The nurse should educate the client on managing the headache while continuing the medication.

Choice D reason: A headache is not an indication of a worsening cardiac condition. It is a common side effect of the vasodilatory effects of nitroglycerin.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education for a client who has glaucoma. Which statement should the nurse include in the teaching?

Correct Answer is C

Explanation

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?

Correct Answer is A

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)

The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations support this diagnosis?

A nurse in the emergency department is caring for a client who is suspected to be in a cholinergic crisis. Which of the following factors should the nurse identify as a possible cause?

A nurse evaluates a client who presents to the provider's office to assess multiple nevi. Which finding should the nurse highlight to the provider as a possible sign of malignancy?

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

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

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)