Exhibits

What can the nurse do to help the parents to decrease their anxiety? Select all that apply.

Find a comfortable area that the parents can wait that is close to the procedure area

Provide the parents with ideas about how to make their child feel better after the procedure

Tell the parents that the procedure is 100% effective and safe

Limit visitation as long as the parents are anxious

Do not give any specifics on the amount of time the procedure will take

Answer and Explanation

Correct Answer : A,B

A. Comfortable waiting areas can help parents feel more at ease during their child's procedure, as proximity may provide a sense of reassurance.
B. Information on post-procedure care can empower parents to take an active role in their child's recovery, which can be comforting.
C. It is unethical and incorrect to guarantee that any medical procedure is 100% effective and safe; complications can arise, and setting realistic expectations is crucial.
D. Limiting visitation can increase anxiety as it separates parents from their child, which can be distressing for both the child and the parents.
E. Providing a general timeframe for the procedure can help manage expectations and reduce anxiety, rather than leaving the parents to worry about an indefinite wait.

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Correct Answer is D

Explanation

- A: This choice is incorrect because a flat prone position is not safe or correct for a sigmoidoscopy; the client should be in a left lateral or Sims' position.
- B: This choice is not directly related to the immediate need of correcting the client's position for the procedure.
- C: Assuming care of the client does not address the immediate issue of the client's incorrect positioning for the sigmoidoscopy.
- D: Demonstrating the correct positioning ensures the safety and effectiveness of the procedure, which is the nurse's responsibility.

A. Decreased level of consciousness. B. Increased abdominal girth. C. Increased respiratory rate. D. Decreased bowel sounds.

Correct Answer is B

Explanation

A. Decreased level of consciousness: While altered mental status can occur in clients with cirrhosis, it is not directly related to recent weight gain.
B. Increased abdominal girth: Weight gain in clients with cirrhosis can be due to fluid retention, which often manifests as increased abdominal girth.
C. Increased respiratory rate: Respiratory rate is not typically directly correlated with recent weight gain in clients with cirrhosis.
D. Decreased bowel sounds: While bowel sounds may be decreased in clients with cirrhosis, they are not directly related to recent weight gain.

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Exhibits What can the nurse do to help the parents to decrease their anxiety? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is setting up the equipment to assist with a sigmoidoscopy while the practical nurse (PN) positions the client in a flat prone position. Which action should the nurse implement?

Correct Answer is D

Explanation

While conducting a physical assessment, a client with cirrhosis of the liver reports to the nurse of having had a 5 lb (2.3 kg) weight gain within the last week. Which assessment finding correlates with the client's comment?

Correct Answer is B

Explanation

An older adult client is being admitted to a short-term rehabilitation facility after a long hospitalization. The nurse is performing a functional assessment with the client. Which action should the nurse implement?

A client with chronic obstructive lung disease who is receiving oxygen at 1.5 L/minute by nasal cannula is currently short of breath. Which action should the nurse take?

Exhibits Based on the assessment and blood gas results, which 3 orders should the nurse expect from the healthcare provider?

A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

The nurse observes a practical nurse (PN) pouring warm water over the perineal area of a female client who has frequent urinary incontinence while the client is positioned on a bedpan. Which action should the nurse take?

The nurse is caring for a client with elevated parathyroid hormone levels. Which safety precaution should the nurse include in the plan of care?

When caring for a client with full-thickness burns to both lower extremities, what assessment finding(s) warrant immediate intervention by the nurse? Select all that apply.

A client arrives for an annual physical exam and reports having calf pain. The client's health history reveals peripheral arterial disease. Which question should the nurse ask the client about expected findings related to chronic arterial symptoms?

Exhibits

What can the nurse do to help the parents to decrease their anxiety? Select all that apply.