A patient has been admitted for surgery for a colostomy. The patient states, "I can't believe this has happened to me." What is the nurse's best response?

"It will be a change for you, but a normal lifestyle is still possible. What concerns you the most? “

"How has your husband reacted to the news? “

"Don't worry Many patients have had this same surgery and learn to manage very well. “

"You sound like you are in disbelief. Why do you feel this way?"

Answer and Explanation

The Correct Answer is A

A. "It will be a change for you, but a normal lifestyle is still possible. What concerns you the most?": This response acknowledges the patient's feelings while offering reassurance that life can still be fulfilling after surgery. It also invites the patient to express their concerns, allowing the nurse to address specific worries and provide tailored support.

B. "How has your husband reacted to the news?": While understanding the patient's support system is important, this response does not directly address the patient's expressed feelings of disbelief and may not be the most immediate concern for the patient at this moment.

C. "Don't worry. Many patients have had this same surgery and learn to manage very well.": While meant to offer reassurance, this response may come across as dismissive of the patient's feelings of disbelief and anxiety about the upcoming surgery.

D. "You sound like you are in disbelief. Why do you feel this way?": This response acknowledges the patient's expressed emotion but may come across as confrontational or probing, potentially making the patient feel defensive. It's important to provide support and reassurance while inviting the patient to share their concerns in a non-threatening manner.

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Correct Answer is C

Explanation

A. Airborne:
Airborne precautions are used for infections transmitted via small droplet nuclei that remain suspended in the air for long periods and can be inhaled by others. Examples of diseases requiring airborne precautions include tuberculosis, measles, and chickenpox. Pertussis is not transmitted via the airborne route.

B. Contact:
Contact precautions are used for infections spread by direct or indirect contact with the client or their environment. Examples include Clostridioides difficile, methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant enterococci (VRE). Pertussis is primarily spread through respiratory droplets rather than contact with contaminated surfaces.

C. Droplet:
Pertussis is primarily spread through respiratory droplets when an infected person coughs or sneezes. The nurse should initiate droplet precautions to prevent the transmission of the bacteria to others. These include wearing a surgical mask when within 3 feet of the client, placing the client in a private room or cohorting with another client who has the same infection, and ensuring that visitors wear masks and practice hand hygiene.

D. Protective:
Protective precautions, also known as reverse isolation, are used to protect clients who have compromised immune systems from exposure to pathogens. This precaution is not relevant for a client with pertussis; instead, the focus is on preventing transmission to others through droplet precautions.

A. Codeine B. Ibuprofen C. Fentanyl D. Oxycodone E. Acetaminophen

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

Explanation

A) Codeine:
Codeine is an opioid analgesic and is not classified as a nonopioid analgesic.
B) Ibuprofen:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) and is considered a nonopioid analgesic. It works by reducing inflammation and pain without producing the same addictive effects as opioids.
C) Fentanyl:
Fentanyl is a potent opioid analgesic and is not classified as a nonopioid analgesic.
D) Oxycodone:
Oxycodone is an opioid analgesic and is not classified as a nonopioid analgesic.
E) Acetaminophen:
Acetaminophen, also known as paracetamol, is a nonopioid analgesic commonly used to relieve mild to moderate pain and reduce fever. It is not classified as an opioid and does not produce the same addictive effects.

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A patient has been admitted for surgery for a colostomy. The patient states, "I can't believe this has happened to me." What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate?

Correct Answer is C

Explanation

A nurse is teaching a class about the use of pain medications for clients who have an opioid addiction. Which of the following medications are a nonopioid analgesic? (Select All that Apply)

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

Explanation

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