A nurse notices a teenage patient with paraplegia in a wheelchair crying. What should the nurse’s response be?
“I’ll return later, and we can talk.”.
“Everything will be okay.”.
“Do you feel like crying helps?”
“Would you like to be alone?”
The Correct Answer is A
Choice A rationale
The nurse should respect the patient’s need for space while also expressing willingness to talk when the patient is ready.
Choice B rationale
Telling the patient “Everything will be okay” may seem dismissive of the patient’s feelings and may not be helpful in this situation.
Choice C rationale
Asking “Do you feel like crying helps?” might come across as judgmental or dismissive.
Choice D rationale
Asking “Would you like to be alone?” might make the patient feel isolated or abandoned.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hyperventilation is a potential treatment for brain herniation. Hyperventilation causes a decrease in carbon dioxide levels in the blood, leading to vasoconstriction of the cerebral blood vessels. This reduces cerebral blood flow and decreases intracranial pressure, which can help in the management of brain herniation.
Choice B rationale
Decreasing sedation is not typically a treatment for brain herniation. Sedation can be used in the management of increased intracranial pressure, but it is not a direct treatment for brain herniation.
Choice C rationale
Reducing the temperature in the room is not a direct treatment for brain herniation. While temperature control is important in the overall management of a patient with brain injury, it does not directly treat brain herniation.
Choice D rationale
Lowering blood pressure is not a direct treatment for brain herniation. While maintaining optimal blood pressure is important in the management of brain injury, aggressive lowering of blood pressure is not typically done as it could compromise cerebral perfusion.
Correct Answer is C
Explanation
Choice A rationale
Nystagmus, which is involuntary eye movement, is not a common adverse effect of a platelet transfusion.
Choice B rationale
Bradycardia, or a slow heart rate, is not typically associated with platelet transfusions.
Choice C rationale
Chills can be an adverse effect of a platelet transfusion. This could be a sign of a reaction to the transfusion, such as an allergic reaction or a febrile non-hemolytic transfusion reaction.
Choice D rationale
Hypothermia is not a common adverse effect of a platelet transfusion.
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