A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. The client says, "Go away; no one can help me." Which of the following responses should the nurse make?

"Everything will be okay."

"Why are you crying?"

"Do you think crying will help?"

“I will come back later and we can talk."

Answer and Explanation

The Correct Answer is D

A.   While this statement aims to offer reassurance, it may come off as dismissive of the client’s current feelings. The client is expressing deep emotions, and saying "everything will be okay" may minimize their experience. It’s better to acknowledge their feelings rather than trying to immediately reassure them without understanding the root of their distress.
B.   This response invites the client to express their feelings and thoughts but may come off as interrogative or insensitive, especially if the client is already upset. It might not provide the emotional support the client needs in that moment. A better approach would be to validate their emotions first.
C.   This response could be perceived as judgmental or sarcastic, potentially making the client feel invalidated or misunderstood. It does not offer the support they need and may discourage them from expressing their feelings further.
D.   This response shows empathy and respect for the client’s feelings. By acknowledging their need for space while also expressing a willingness to engage later, the nurse is providing a supportive approach. It allows the client to feel heard and valued without forcing them to communicate when they may not be ready.

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Correct Answer is ["B","C","E"]

Explanation

A. This test measures the blood's capacity to bind iron with transferrin, and it is primarily used to evaluate iron metabolism and diagnose iron deficiency anemia. It is not specifically used for diagnosing CML. Therefore, this option is not typically relevant for CML testing.
B. This test is used to detect specific genetic abnormalities associated with CML, particularly the Philadelphia chromosome, which results from a translocation between chromosomes 9 and 22. FISH is a valuable diagnostic tool for identifying the presence of this genetic marker, making this a relevant test for CML.
C. This test examines the chromosomes in cells and is crucial for diagnosing CML. It allows for the detection of chromosomal abnormalities, including the Philadelphia chromosome. Cytogenetic analysis is a standard diagnostic tool in identifying CML and monitoring treatment response.
D. A reticulocyte count measures the number of young red blood cells in the blood and is used to assess bone marrow function. While it can provide some information about bone marrow activity, it is not specific for diagnosing CML. Therefore, it is not a primary diagnostic test for this condition.
E. RT-PCR is a highly sensitive test that detects the BCR-ABL fusion gene, which is characteristic of CML. This test is used not only for diagnosis but also for monitoring treatment response. It is a critical test in the management of CML.

A. "Respite care provides holistic support and care for a client who is terminally ill." B. "Respite care is a continuation of psychological support after a family member dies." C. "Respite care helps relieve pain and promote comfort D. "Respite care allows the primary caregiver time away from day-to-day care responsibilities."

Correct Answer is D

Explanation

A. While respite care can be part of end-of-life care, it is not limited to terminally ill clients. Respite care is designed to provide temporary relief to caregivers for individuals with various chronic conditions, including disabilities like quadriplegia.
B. Respite care is not specifically related to psychological support after a death. Instead, it is intended to give caregivers a break from their caregiving responsibilities, regardless of the patient's prognosis. Thus, this response does not effectively describe the function of respite care.
C. While respite care can involve pain management and comfort measures, this statement does not fully capture the primary purpose of respite care, which is to provide temporary relief for caregivers. It may address some aspects of patient care, but it doesn't highlight the caregiver's need for a break.
D. Respite care is specifically designed to provide primary caregivers with relief from the daily responsibilities of caregiving. It allows them time to rest, attend to personal needs, or manage other responsibilities, which can help prevent caregiver burnout and improve overall well-being for both the caregiver and the client.

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A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. The client says, "Go away; no one can help me." Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is being tested for chronic myelogenous leukemia (CML). Which of the following diagnostic tests should the nurse anticipate being prescribed?(Select All that Apply.)

Correct Answer is ["B","C","E"]

Explanation

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Correct Answer is D

Explanation

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