The nurse is caring for a client who was recently diagnosed with chronic renal failure. Which is the most appropriate nursing intervention to assist the client in coping with the diagnosis?
Offer the client a brochure about hemodialysis and renal transplantation.
Suggest that the client get affairs in order and identify a health care proxy.
Tell the client their family will be trained so they are able to care for them at home.
Encourage the client to join a local support group for people with renal disease.
The Correct Answer is D
A. Providing brochures is informative but may not adequately support the client’s emotional adjustment to a new chronic illness.
B. Suggesting the client get affairs in order is premature and could increase anxiety rather than promote healthy coping.
C. Telling the client their family will be trained may be reassuring but does not directly address the client’s need to process feelings and cope with the diagnosis.
D. Encouraging the client to join a support group offers an opportunity to share experiences, gain emotional support, and learn coping strategies from others with similar conditions, which is the most therapeutic intervention to promote adaptation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E","F"]
Explanation
A. Enemas and laxatives are contraindicated because they can increase intra-abdominal pressure and risk of appendix rupture.
B. IV fluids restore hydration, and antibiotics help prevent infection.
C. Consent must be signed before surgery.
D. Client should remain NPO to reduce aspiration risk during anesthesia.
E. Monitoring urine output is essential for assessing hydration and kidney perfusion.
F. IV pain medication is appropriate for pain control pre- and postoperatively.
Correct Answer is D
Explanation
A. Muscle relaxants (e.g., baclofen) are used to control spasticity in MS, but increasing the dose does not target fatigue. In fact, higher doses can increase drowsiness and worsen fatigue.
B. Heat can exacerbate symptoms in MS (Uhthoff’s phenomenon), including fatigue, muscle weakness, and visual disturbances. Hot baths should be avoided.
C. Clients with MS often benefit from energy conservation techniques, which may include short, planned rest periods or naps. Avoiding all naps can worsen exhaustion.
D. Occupational and physical therapy teach clients energy conservation, pacing activities, and safe exercise routines, which are highly effective strategies for reducing fatigue in MS.
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