An older adult client returned to the nursing home after a lower limb amputation. The client is scheduled for a prosthesis fitting and states, “I am too old to learn how to manage this.” Which of the following responses from the nurse is appropriate?

I will call your provider so we can discuss it.

What are you thinking that you would like to do?

You have the right to refuse if you don’t think you can do this.

Many clients your age are able to adjust surprisingly well to a prosthesis.

Answer and Explanation

The Correct Answer is D

Choice A Reason: I will call your provider so we can discuss it

While this response shows the nurse’s willingness to involve the healthcare provider, it does not directly address the client’s concern about their ability to manage the prosthesis. It is important to provide immediate reassurance and encouragement to the client, which this response lacks.

Choice B Reason: What are you thinking that you would like to do?

This response is open-ended and encourages the client to express their feelings and thoughts. While it is a good approach to understand the client’s perspective, it does not provide the immediate reassurance and encouragement that the client needs to feel confident about managing the prosthesis.

Choice C Reason: You have the right to refuse if you don’t think you can do this

This response acknowledges the client’s autonomy but may inadvertently reinforce their doubts and fears about managing the prosthesis. It is important to encourage and support the client rather than focusing on their right to refuse.

Choice D Reason: Many clients your age are able to adjust surprisingly well to a prosthesis

This response is the most appropriate as it provides reassurance and encouragement to the client. By sharing that many clients of a similar age have successfully adjusted to a prosthesis, the nurse helps to build the client’s confidence and reduce their anxiety about managing the new situation. This positive reinforcement can be very motivating for the client.

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Correct Answer is B

Explanation

Choice A Reason: Avoid wearing tight-fitting clothing

Avoiding tight-fitting clothing is not specifically related to the management of acute pancreatitis. While comfortable clothing can be beneficial for general well-being, it does not directly impact the condition or its management. The primary focus for managing acute pancreatitis involves dietary and lifestyle changes that reduce stress on the pancreas.

Choice B Reason: Cease from smoking and consuming alcohol

Ceasing from smoking and consuming alcohol is crucial for clients with acute pancreatitis. Alcohol is a major risk factor for pancreatitis, and continued consumption can exacerbate the condition and lead to chronic pancreatitis or other complications. Smoking also has detrimental effects on the pancreas and can worsen the prognosis. Therefore, it is essential to advise clients to stop these habits to promote healing and prevent recurrence.

Choice C Reason: Practice good dental hygiene

While good dental hygiene is important for overall health, it is not specifically related to the management of acute pancreatitis. The primary concerns for pancreatitis management involve dietary adjustments, avoiding alcohol and smoking, and monitoring for symptoms of recurrence.

Choice D Reason: Stop exercising

Stopping exercise is not recommended for clients with acute pancreatitis. In fact, regular physical activity can be beneficial for overall health and well-being. However, clients should avoid strenuous activities during the acute phase of pancreatitis and gradually resume exercise as they recover. The focus should be on balanced, moderate physical activity that supports overall health without overexerting the body.

A. Nutritional therapy B. Speech therapy C. Occupational therapy D. Respiratory therapy

Correct Answer is B

Explanation

Choice A Reason:

Nutritional therapy focuses on dietary needs and ensuring patients receive adequate nutrition. While this is important for overall health, it does not directly address the swallowing difficulties experienced by patients with Parkinson’s disease.

Choice B Reason:

This is the correct answer. Speech therapy is essential for patients with Parkinson’s disease who have difficulty swallowing. Speech-language pathologists (SLPs) are trained to assess and treat swallowing disorders (dysphagia). They can provide exercises and strategies to improve swallowing function and reduce the risk of aspiration.

Choice C Reason:

Occupational therapy helps patients with daily living activities and improving motor skills. While occupational therapists can assist with feeding techniques, they do not specialize in treating swallowing disorders.

Choice D Reason:

Respiratory therapy focuses on breathing and lung function. It is not directly related to swallowing difficulties, although respiratory therapists may be involved if there are complications such as aspiration pneumonia.

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An older adult client returned to the nursing home after a lower limb amputation. The client is scheduled for a prosthesis fitting and states, “I am too old to learn how to manage this.” Which of the following responses from the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing discharge instructions for a client who has been treated for acute pancreatitis. Which of the following statements is important to include in the information?

Correct Answer is B

Explanation

A nurse is providing care to a client who has Parkinson’s disease and is having difficulty swallowing. Which of the following departments should the nurse plan to contact for a consultation?

Correct Answer is B

Explanation

A nurse is working with a nursing student to care for several clients who have musculoskeletal injuries. The nurse should identify which of the following functions of the musculoskeletal system? (Select All that Apply)

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client’s discomfort?

A nurse is caring for a client who has a new diagnosis of Clostridium difficile and is placed on contact precautions. Which of the following actions should the nurse take?

A nurse is caring for a client who acquired hepatitis A from consuming contaminated food. The client’s mouth is an example of which of the following links in the chain of infection?

A nurse is educating a client about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?

A nurse is caring for a client who was involved in a motor vehicle accident. The client is alert and oriented and reports a loss of consciousness immediately after the accident. Which of the following additional manifestations should the nurse assess the client for? (Select All that Apply.)

A nurse is providing teaching to a client who has a new diagnosis of Crohn’s disease. Which of the following statements by the nurse provides the most simplistic and non-medical description of the disorder?

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