A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?
"Don't worry, most clients dislike the prep more than the procedure itself."
"After you have signed the consent form, we can talk more about this."
"I know you're anxious, but this procedure is recommended for people your age."
"Before the examination, your provider will give you a sedative that will make you sleepy."
The Correct Answer is D
- A: This response minimizes the client's feelings and may make them feel unheard. It's important for healthcare providers to acknowledge a patient's feelings and provide reassurance in a more empathetic manner.
- B: This response delays addressing the client's concerns and may increase his anxiety. Consent is important, but it should not be a barrier to discussing care and addressing concerns.
- C: This response is factual but does not address the client's immediate concern about pain. It's crucial to address the client's fears directly rather than deflecting to the procedure's necessity.
- D: This response directly addresses the client's concern about pain by informing him of the sedative, which is a common practice to reduce discomfort during a colonoscopy. It provides reassurance and factual information about the procedure's process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
A painless sore with raised edges is a characteristic early sign of oral cancer. It may appear as a small, painless lump or sore in the mouth, often with raised edges. This finding should raise suspicion and prompt further evaluation.
Choice B reason:
Diffuse inflammation of the buccal mucosa is a non-specific finding and can be caused by various factors, including infection or irritation. While it's important to assess the oral mucosa for any abnormalities, it is not specific to oral cancer.
Choice C reason:
Dull pain radiating to the ears and teeth is not a characteristic early sign of oral cancer. Pain associated with oral cancer may occur in later stages or if there is local invasion of nerves.
Choice D reason:
Areas of tenderness that make chewing difficult may occur for various reasons, including dental issues or other oral health problems. While this can be distressing for the patient, it is not specific to oral cancer.
Correct Answer is ["10"]
Explanation
- Read the medication label carefully and check the dosage and concentration of Ceclor.
- The label shows that Ceclor is available as a suspension with 250 mg/5 mL.
- To calculate the volume of medication needed, use the formula: Volume = Dose / Concentration
- Plug in the values from the order and the label: Volume = 0.5 g / (250 mg/5 mL)
- Convert grams to milligrams by multiplying by 1000: Volume = 500 mg / (250 mg/5 mL)
- Simplify the fraction by dividing both numerator and denominator by 250: Volume = 2 / (1/5)
- Invert and multiply the fractions: Volume = 2 x 5
- Solve for volume: Volume = 10 mL
- The patient will receive 10 mL of Ceclor suspension.
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