A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states. "I cannot do this. I do not want this surgery." Which of the following actions should the nurse take?

Tell the client about the benefits of the surgery.

Inform the client that it is too late to stop the surgery.

Let the client know that their surgeon will be notified of their decision.

Reassure the client that it is expected to be nervous before surgery.

Answer and Explanation

The Correct Answer is C

A.   While educating the client about the benefits of surgery is important, it is not appropriate to dismiss the client's concerns in this situation.

B.   It is important to respect the client's autonomy and decision-making process. If the client expresses a desire to reconsider the surgery, their wishes should be respected.
C.   The nurse should respect the client's decision and communicate their wishes to the surgical team for further discussion and decision-making.
D.   While reassurance is important, it should be provided in a way that acknowledges and respects the client's concerns and decisions.

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Correct Answer is D

Explanation

A. This gait involves both crutches advancing simultaneously followed by both legs.

B. This gait involves swinging both legs and crutches forward at the same time.

C. This gait involves alternating movement of each crutch and leg, providing more stability but may be difficult for a client with limited weight-bearing on one leg.
D. In this gait, the client advances both crutches and the affected leg simultaneously, followed by the unaffected leg.

A. "Logrolling helps prevent friction when you are repositioned." B. "Logrolling will keep your spine in alignment." C. "You should keep your arms at your sides while logrolling" D. "The head of your bed will be elevated prior to logrolls”

Correct Answer is B

Explanation

A. Logrolling is primarily used to move clients without twisting the spine or causing friction on pressure areas, rather than specifically to prevent friction.
B. Logrolling is a technique used to maintain the alignment of the client's spine while turning them, reducing the risk of injury, particularly to the spinal cord.

C. Clients are typically instructed to cross their arms over their chest during logrolling to help maintain alignment and protect their arms.
D. While raising the head of the bed may be necessary for certain procedures or to assist with positioning, it is not specifically required for logrolling.

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A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states. "I cannot do this. I do not want this surgery." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

Correct Answer is D

Explanation

A nurse is teaching a client about logrolling while in bed. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?

A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?

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