An older adult client who is scheduled for surgery tomorrow becomes quiet and withdrawn after family members leave. Which action should the practical nurse take?
Close the room door to allow the client some quiet and privacy.
Use an open-ended statement to encourage communication.
Express concern and empathy for the client's loneliness.
Affirm that facing surgery can be a frightening experience.
The Correct Answer is B
A. Close the room door to allow the client some quiet and privacy: Providing privacy can be helpful, but in this situation, the client’s withdrawal may indicate anxiety or fear. Simply closing the door does not address the emotional needs that often arise before surgery.
B. Use an open-ended statement to encourage communication: Open-ended statements invite the client to express thoughts and feelings freely, allowing the nurse to assess concerns about the upcoming surgery. This fosters trust, therapeutic communication, and emotional support.
C. Express concern and empathy for the client's loneliness: While showing empathy is important, assuming the client is lonely may not accurately reflect the client’s emotional state. The nurse should first explore what the client is feeling through open-ended conversation.
D. Affirm that facing surgery can be a frightening experience: Offering reassurance without assessing the client’s actual feelings may seem presumptive. It is more therapeutic to first allow the client to verbalize specific fears or concerns before providing reassurance or education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "You can best help your child by remaining calm and positive.": This statement offers advice rather than addressing the mother’s immediate emotional distress, which may feel dismissive.
B. "Do you have someone who can help you cope with this?": While assessing support systems is important, it does not acknowledge the mother’s current feelings and may come too early in the conversation.
C. "This must appear devastating to you at this moment.": Validating the mother’s feelings demonstrates empathy and allows her to feel heard. Acknowledging her emotional state is the most appropriate initial response before providing guidance or exploring support systems.
D. "What was happening right before your child was injured?": Asking for details about the event shifts focus away from the mother’s emotional needs and may be perceived as insensitive during her moment of distress.
Correct Answer is C
Explanation
A. Hemoglobin and Hematocrit: These values reflect red blood cell status and oxygen-carrying capacity but do not provide information about kidney function. They are not directly relevant to assessing risk for nephrotoxicity before antibiotic administration.
B. Serum calcium: Calcium levels indicate electrolyte and bone metabolism status but do not assess renal function. Monitoring calcium is unrelated to the risk of nephrotoxic effects from antibiotics.
C. Serum creatinine: Serum creatinine is a key indicator of kidney function and glomerular filtration. Reviewing this value helps the PN determine if the client’s kidneys can safely handle nephrotoxic antibiotics and guides dosing decisions to prevent further renal injury.
D. White blood cell count (WBC): WBC indicates immune response and infection status but does not assess renal function. While important for infection monitoring, it does not inform nephrotoxicity risk.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.