The nurse is assisting a client, who is postoperative abdominal surgery, to the chair. The nurse notes the client is guarding the abdomen and grimacing when ambulating. Which of the following would be the most appropriate question or statement by the nurse?
"Can you describe the feeling you are experiencing?"
"Would you like me to give you some pain medication?"
"Do you feel better sitting in the chair?"
"Let me know if you are still uncomfortable in the chair."
The Correct Answer is A
A. "Can you describe the feeling you are experiencing?" Asking the patient to describe their sensation helps identify the nature of their discomfort and guides appropriate pain management or further investigation.
B. "Would you like me to give you some pain medication?" Offering pain medication may address the discomfort, but it is important to first understand the nature and severity of the pain.
C. "Do you feel better sitting in the chair?" This question assesses the patient’s comfort but does not address the cause of the pain or discomfort.
D. "Let me know if you are still uncomfortable in the chair." This is a follow-up question rather than an initial assessment, and it may not be proactive enough in addressing the cause of pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Are you usually anxious about unknown situations?" This question may help understand the client's general anxiety but does not directly address the specific concern related to their current hospital admission.
B. "Do you have any questions about this admission?" This response is practical and offers the client an opportunity to clarify any doubts about the current admission, which might help reduce anxiety.
C. "Are you here for the same reason?" This question is specific to the reason for the admission but may not fully address the anxiety related to the hospital environment.
D. "Can you tell me more about that experience?" This response encourages the client to discuss their previous negative experience, which can help in understanding their anxiety and providing targeted support.
Correct Answer is D
Explanation
A. Meeting friends for fast food daily. This option does not promote joint mobility or health and could lead to poor overall health.
B. Running 5 miles daily in a safe, well-lit area. While running can improve cardiovascular health, it may not be appropriate for an elderly person due to the risk of joint and injury.
C. Exercising 2 hours each day in a gym. Excessive exercise can lead to injury, particularly in the elderly. Moderation and appropriate exercise are crucial.
D. Walking on a lunch break with a friend in a safe area. Regular walking is a low-impact exercise that promotes joint mobility and overall health, making it a suitable choice for an elderly person.
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