A nurse is talking with a client who reports that they have started feeling anxious every time they have to leave their house. Which of the following responses should the nurse make?

"Have you tried leaving your house just once per day?"

"Have you thought about moving to a new neighborhood?"

"Let's discuss how you feel when you leave your house."

"Tell me why you have developed an aversion to leaving your house."

Answer and Explanation

The Correct Answer is C

Choice A Reason:

"Have you tried leaving your house just once per day?" This response assumes a potential solution without fully understanding the client's feelings. It doesn't encourage open discussion or exploration of the client's anxiety.

Choice B Reason:

"Have you thought about moving to a new neighborhood?" This response jumps to a significant life change as a solution without exploring the client's current situation and emotions. It may not be a practical or necessary step.

Choice C Reason:

"Let's discuss how you feel when you leave your house." This response is an open and therapeutic approach that encourages the client to express their feelings and thoughts about the situation. It allows the nurse to gather more information and better understand the client's anxiety related to leaving the house. The other options do not facilitate open communication or exploration of the client's feelings.

Choice D Reason:

"Tell me why you have developed an aversion to leaving your house." While this response is more open-ended, it phrases the question in a somewhat confrontational manner, which might make the client defensive. The previous response ("Let's discuss how you feel when you leave your house") is gentler and inviting.

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Correct Answer is A

Explanation

Choice A Reason:

"I will get you information about some head-covering options." This response shows empathy and a willingness to provide practical support to the client. It addresses the client's concerns about hair loss and offers assistance in finding head-covering options, which can be helpful during chemotherapy. It demonstrates a proactive and caring approach to the client's needs.

Choice B Reason:

"I wouldn't worry about this right now. Let's focus on your chemotherapy." This response dismisses the client's concerns and does not provide any support or information.

Choice C Reason:

"Let's discuss this when we have more time. “This response delays addressing the client's concerns and does not offer immediate support or information.

Choice D Reason:

"I can't imagine how difficult it would be to lose my hair." This response expresses personal empathy but does not offer practical assistance or information to the client about managing hair loss.

A. Select the central tip of a finger. B. Wear sterile gloves. C. Keep the finger in a dependent position. D. Milk or massage the finger site.

Correct Answer is C

Explanation

Choice A Reason:

Select the central tip of a finger is incorrect. The nurse should select a puncture site on the side of the finger, slightly off-center from the central tip, as it tends to be less painful. The side of the finger has an adequate blood supply and can provide an accurate blood sample without causing excessive discomfort.

Choice B Reason:

Wearing sterile gloves is incorrect. Sterile gloves are not typically necessary for routine capillary blood glucose monitoring. However, clean hands and proper hand hygiene are essential. The nurse should perform hand hygiene before the procedure.

Choice C Reason:

Keeping the finger in a dependent position is correct. Keeping the finger in a dependent position (hanging down) can promote blood flow and make it easier to obtain a blood sample. This is a recommended technique to facilitate the puncture and collection of blood.

Choice D Reason:

Milking may hemolyze specimen and introduce excess tissue fluid.

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A nurse is talking with a client who reports that they have started feeling anxious every time they have to leave their house. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is to begin chemotherapy. The client asks the nurse about managing hair loss. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is using a glucometer to measure a client's capillary blood glucose level. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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