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.

Answer and Explanation

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.

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Correct Answer is ["B","C"]

Explanation

A. Standard precautions alone are not sufficient, because varicella (chickenpox) is highly contagious and requires additional infection control measures.
B. Tepid baths and soothing topical applications such as calamine lotion can help relieve pruritus and discomfort from vesicular lesions.
C. Varicella is transmitted by airborne droplets and direct contact with lesions; therefore, strict airborne and contact isolation is required until all lesions have crusted over.
D. Unexposed friends should not visit, as the virus spreads easily to anyone who is not immune.
E. While hand hygiene is important, varicella is not controlled with droplet precautions alone; airborne and contact isolation is necessary.

A. The goal of treatment for MS is to delay the progression of the disease. B. Fatigue that interferes with activities of daily living is treated with the drug baclofen. C. Although (MS) involves remissions and exacerbations, it can be cured. D. There are only two classifications of drugs that are used in the management of MS.

Correct Answer is A

Explanation

A. Multiple sclerosis is a chronic, progressive neurological disease with no known cure. The main goal of treatment is to delay disease progression, manage symptoms, and reduce the frequency/severity of exacerbations to maintain function and quality of life.
B. Baclofen is an antispasmodic used to treat muscle spasticity in MS, not fatigue. Fatigue is managed through energy-conservation strategies, exercise, and sometimes medications like amantadine.
C. MS is not curable. It follows a pattern of remissions and exacerbations, but treatment focuses on symptom control and slowing progression.
D. Multiple classifications of drugs are used, including disease-modifying therapies (DMTs), corticosteroids for acute relapses, muscle relaxants, and medications for specific symptoms such as fatigue, pain, and bladder dysfunction.

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Heart Rate	115 beats per minute
Blood pressure	100/70 mmHg
Temperature	98.7 F (37.0 C)
Oxygen saturation	90% on room air

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?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a pediatric client and notes crop lesions that have spread to the face, trunk, and arms. Some appear as a pruritic macular rash and others have started to develop into vesicles. What intervention(s) will the nurse implement? (Select all that apply)

Correct Answer is ["B","C"]

Explanation

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Correct Answer is A

Explanation

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