The nurse is caring for a client diagnosed with Crohn's Disease who is crying. The client tells the nurse, am so frustrated. I never know when I will get sick and end up in the hospital" which statement would be the nurse's best response?

“I understand how frustrating this must be for you, just be strong.”

"Are you thinking about not continuing treatment.”

"You must keep thinking about the good things in your life."

“I can see that you are upset. I can sit down and we can talk.”

Answer and Explanation

The Correct Answer is D

A. "I understand how frustrating this must be for you, just be strong." : While it acknowledges frustration, it dismisses the client’s emotions and offers an unrealistic solution ("just be strong").

B. "Are you thinking about not continuing treatment?" : This response is inappropriate because the client has not indicated nonadherence. It may also make the client feel defensive rather than supported.

C. "You must keep thinking about the good things in your life." : While positive thinking is beneficial, this statement invalidates the client's distress rather than addressing their concerns.

D. "I can see that you are upset. I can sit down and we can talk.": This is a therapeutic response that acknowledges the client’s feelings and provides an opportunity for open discussion, which is key in supporting clients with chronic illnesses.

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Correct Answer is D

Explanation

A. Blood sugar: Acute pancreatitis causes inflammation and damage to the pancreas, reducing insulin production, leading to hyperglycemia but it is not as specific as lipase for diagnosing pancreatitis.

B. Troponin: Troponin is a marker of myocardial injury (e.g., heart attack) and is not typically elevated in pancreatitis.

C. Brain Natriuretic Peptide (BNP): BNP is released in response to heart failure and does not typically rise in pancreatitis.

D. Lipase: Lipase is an enzyme produced by the pancreas to digest fats. In acute pancreatitis, lipase levels are significantly elevated due to pancreatic injury.

A. "You can donate blood as long as your symptoms have resolved.”" B. " It is safe to consume alcohol in moderation.” C. "You should inform your sexual partners about your diagnosis." D. "You do not need to follow up with your healthcare provider once you feel better."

Correct Answer is C

Explanation

A. "You can donate blood as long as your symptoms have resolved.": Clients with a history of hepatitis B can never donate blood, even if symptoms have resolved, due to the risk of latent infection and transmission.

B. "It is safe to consume alcohol in moderation.": Alcohol should be avoided because it worsens liver inflammation and damage in hepatitis B.

C. "You should inform your sexual partners about your diagnosis.": Hepatitis B (HBV) is a bloodborne virus transmitted through sexual contact, blood, and bodily fluids. Clients should inform sexual partners and practice safe sex to prevent transmission.

D. "You do not need to follow up with your healthcare provider once you feel better.": Follow-up is essential to monitor liver function, prevent complications, and check for chronic hepatitis B, which may lead to cirrhosis or liver cancer.

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The nurse is caring for a client diagnosed with Crohn's Disease who is crying. The client tells the nurse, am so frustrated. I never know when I will get sick and end up in the hospital" which statement would be the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the laboratory values of a client with acute Pancreatitis. The nurse can anticipate an elevation in which of the following?

Correct Answer is D

Explanation

A nurse is providing discharge instructors to a client with hepatitis B. Which of the following statements should be included in the teaching?

Correct Answer is C

Explanation

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