The client is struggling with the decision to donate organs after death. The nurse assists the client to list alternatives, examine the "pros" and "cons" and elicits the client's feelings about the decision. The nurse is assisting this client with:

cultural assessment.

selecting treatment.

values clarification.

defining religious beliefs.

Answer and Explanation

The Correct Answer is C

A. Cultural assessment: A cultural assessment involves gathering information about the client's cultural background, beliefs, practices, and preferences to provide culturally sensitive care. While the decision to donate organs may be influenced by cultural factors, assisting the client with alternatives, examining pros and cons, and eliciting feelings about the decision are not specifically related to conducting a cultural assessment.

B. Selecting treatment: Assisting the client with selecting treatment involves discussing various treatment options and helping the client make informed decisions about their healthcare. While organ donation may be considered a treatment option in some contexts, the scenario described focuses more on helping the client clarify their values and make a decision about organ donation rather than selecting treatment for a specific health condition.

C. Values clarification: This is the correct option. Values clarification involves helping individuals explore and understand their personal values, beliefs, and preferences to make decisions that align with their values. In this scenario, the nurse is assisting the client with exploring the decision to donate organs by facilitating a process of examining alternatives, considering the pros and cons, and eliciting the client's feelings about organ donation. This approach helps the client clarify their values related to organ donation and make an informed decision based on their personal beliefs and preferences.

D. Defining religious beliefs: While religious beliefs may influence an individual's decision about organ donation, the nurse's role in this scenario is broader and focuses on helping the client clarify their values and make a decision about organ donation based on their personal beliefs and preferences. The nurse may address religious beliefs as part of the values clarification process but is primarily assisting the client in exploring their overall values and feelings about organ donation.

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Correct Answer is D

Explanation

A. "I shouldn't take my vitamin D pill before the stool sample is collected." Vitamin D supplements are unlikely to interfere with the hemoccult test, as they typically do not contain substances that affect the detection of occult blood in the stool. Therefore, this statement does not demonstrate an understanding of factors relevant to the stool sample collection for the hemoccult test.

B. "I should take a laxative to help me pass my stool." Taking a laxative before collecting the stool sample is not recommended, as it can alter the consistency and composition of the stool, potentially affecting the accuracy of the hemoccult test. Laxatives may also cause diarrhea, leading to difficulty in collecting a sufficient sample. Therefore, this statement is incorrect and does not reflect effective teaching regarding stool sample collection for the hemoccult test.

C. "I must avoid drinking milk before collecting the stool sample." While certain dietary restrictions may be necessary for specific diagnostic tests, drinking milk is not typically prohibited before collecting a stool sample for a hemoccult test. Milk consumption is unlikely to interfere with the test results or the detection of occult blood in the stool. Therefore, this statement is not relevant to the hemoccult test and does not demonstrate understanding of appropriate preparation for the test.

D. "Any meat that I eat before I collect my stool sample must be fully cooked." This statement reflects an understanding of food safety and hygiene practices relevant to stool sample collection for the hemoccult test. Fully cooked meat reduces the risk of bacterial contamination in the stool sample, which could interfere with the accuracy of the test results. Therefore, this statement demonstrates effective teaching regarding the importance of food preparation in ensuring accurate test results for the hemoccult test.

A. "I can take this medication along with mineral oil." B. "I should drink 4 ounces of water when I take the medication." C. "It might take up to 3 days for the medication to work." D. "I will take the medication for diarrhea."

Correct Answer is C

Explanation

Docusate sodium is a stool softener commonly prescribed to alleviate constipation, particularly in patients taking opioid pain medications, which often cause constipation as a side effect. When educating a client about docusate sodium, it's essential to provide accurate information about its onset of action and expected effects.

A. "I can take this medication along with mineral oil."

This statement indicates a misunderstanding of the teaching. Combining docusate sodium with mineral oil is not recommended because mineral oil can interfere with the absorption of fat-soluble vitamins and may diminish the effectiveness of docusate sodium.

B. "I should drink 4 ounces of water when I take the medication."

Although it's important to stay hydrated when taking docusate sodium, there isn't typically a specific volume of water recommended for each dose. While hydration can aid in the effectiveness of the medication, this statement doesn't directly address the expected action of docusate sodium.

C. "It might take up to 3 days for the medication to work."

This statement demonstrates an understanding of the teaching. Docusate sodium may take a few days to produce a noticeable effect on bowel movements. Understanding this timeline helps manage the client's expectations and prevents premature discontinuation of the medication due to perceived lack of efficacy.

D. "I will take the medication for diarrhea."

Docusate sodium is not indicated for the treatment of diarrhea. It is specifically used as a stool softener to alleviate constipation by promoting easier passage of stool. This statement indicates a misunderstanding of the intended use of the medication.

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The client is struggling with the decision to donate organs after death. The nurse assists the client to list alternatives, examine the "pros" and "cons" and elicits the client's feelings about the decision. The nurse is assisting this client with:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client who will be collecting a stool sample for a hemoccult test. The nurse determines that teaching has been effective when the client states:

Correct Answer is D

Explanation

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

The nurse understands that examples of sensible fluid loss in a client are: (SELECT ALL THAT APPLY)

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The nurse collects a urine sample from a newly admitted client. The color of the urine is slightly pink. The first nursing action would be to:

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A female nurse is beginning to avoid going into the room of a male client who makes frequent sexual comments about nurses. The nurse's initial response should be to:

The client tells the nurse. "The need to urinate comes on me all of a sudden, and it feels as though I have to go immediately-that I can't wait." The nurse charts that the client is experiencing:

A client has with profuse diarrhea from food poisoning contracted at a company picnic 12 hours ago. The nurse's care for this client should include: ...

Which food item should the nurse instruct the patient to consume to prevent or treat constipation?