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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. The client with breast cancer who had a mastectomy. This client is facing a significant life change and physical alteration that may lead to psychosocial stressors such as body image issues and emotional distress.

B. The client with chronic obstructive pulmonary disease who requires oxygen therapy. Although this condition is challenging, the primary stressors are often physical and related to the management of the disease rather than psychosocial stressors.

C. The client with colon cancer who has a colostomy. A colostomy can affect body image and self-esteem, potentially leading to psychosocial stressors such as anxiety or social isolation.

D. The client with a left upper arm fracture who was a victim of a crime. The fracture and the trauma of being a crime victim are significant psychosocial stressors. The emotional and psychological impact of the crime can affect the client’s overall mental health.

A. Rotation B. Dorsiflexion C. Eversion D. Extension E. Adduction

Correct Answer is ["A","D","E"]

Explanation

A. Rotation: Rotation is a movement that involves turning a part of the body around its axis, which applies to shoulder movements.

B. Dorsiflexion: Dorsiflexion refers to the movement of the foot, not the shoulder, and is not applicable in this context.

C. Eversion: Eversion involves the movement of the foot and not the shoulder, so it does not apply here.

D. Extension: Extension refers to increasing the angle between body parts, such as straightening the arm or shoulder.

E. Adduction: Adduction involves moving a body part toward the midline, which is relevant to shoulder movements.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a group of clients for psychosocial stressors. Which of the following client's should the nurse identify as having this type of stressor?

Correct Answer is D

Explanation

The nurse is assisting a client with performing range-of-motion of the shoulder and the client asks the nurse to identify each movement performed. Which of the following movements should the nurse include? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

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