The physician has just informed a patient that they have breast cancer and will require a mastectomy. The nurse finds that the patient is crying.
Which response by the nurse is most appropriate?

“This must be very difficult for you. I am here if you want to talk.”.

“Can you tell me why you are so upset?”

“I am sure everything will be alright. There is no need to cry.”.

“You will recover.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale

When a patient is informed about a serious diagnosis like breast cancer and the need for a mastectomy, it is common for them to experience a range of emotions, including sadness, fear, and anxiety. As a nurse, providing emotional support and creating a safe space for the patient to express their feelings is crucial. Offering to be there for the patient if they want to talk acknowledges their emotional distress and provides comfort.

Choice B rationale

Asking the patient why they are upset may come across as insensitive or dismissive. The patient has just received a life-changing diagnosis, and their emotional reaction is completely normal and expected. It’s important to provide support and empathy rather than questioning their feelings.

Choice C rationale

Telling the patient that everything will be alright and there is no need to cry may seem comforting, but it can actually invalidate the patient’s feelings. It’s important to acknowledge the patient’s emotions and allow them to express their feelings without judgment.

Choice D rationale

Telling the patient that they will recover may be seen as providing false reassurance. While it’s important to maintain hope, it’s also crucial to be honest and realistic with the patient about their diagnosis and treatment.

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Correct Answer is A

Explanation

Choice A rationale

The hemoglobin A1C test, also known as the HbA1C or glycated hemoglobin test, is a blood test that evaluates glycemic control over a 3-month period by measuring the glucose attached to hemoglobin. This test is commonly used to diagnose and monitor diabetes. It provides an average of your blood sugar levels over the past 2-3 months, which can help healthcare providers assess how well diabetes is being managed.

Choice B rationale

The hemoglobin A1C test does not use the level of serum protein to evaluate glycemic control. Instead, it measures the amount of glucose that is attached to the hemoglobin in your red blood cells.

Choice C rationale

The hemoglobin A1C test does not evaluate serum ketone production over several days. Ketones are produced when the body burns fat for energy, which can occur when there is not enough insulin to help your body use sugar for energy. High levels of ketones can lead to diabetic ketoacidosis, a serious condition that requires immediate medical attention.

Choice D rationale

The hemoglobin A1C test does not determine the amount of glucose attached to hemoglobin over the last seven days. Instead, it provides an average of your blood sugar levels over the past 2-3 months. -

A. Trendelenburg with the stump supported on three pillows. B. Side lying with amputated leg flexed. C. Prone for 24 hours. D. Supine with the stump flat on the bed.

Correct Answer is D

Explanation

Choice A rationale

The Trendelenburg position, with the stump supported on three pillows, is not typically recommended following a below-the-knee amputation. This position could increase the risk of contractures.

Choice B rationale

Side lying with the amputated leg flexed is not typically recommended following a below-the- knee amputation. This position could increase the risk of contractures.

Choice C rationale

Lying prone for 24 hours is not typically recommended following a below-the-knee amputation. While some prone positioning may be beneficial to prevent hip flexion contractures, it should not be the only position used.

Choice D rationale

The supine position, with the stump flat on the bed, is often recommended following a below- the-knee amputation. This position helps to prevent contractures and promotes healing.

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The physician has just informed a patient that they have breast cancer and will require a mastectomy. The nurse finds that the patient is crying. Which response by the nurse is most appropriate?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks a nurse, “What is a hemoglobin A1C test?” Which of the following is the most appropriate response?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

The nurse is caring for a client who has just returned to the nursing unit following a below-the-knee amputation (BKA) of the right leg. How should this client be positioned?

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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The physician has just informed a patient that they have breast cancer and will require a mastectomy. The nurse finds that the patient is crying.
Which response by the nurse is most appropriate?