A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless. Which of the following statements by the nurse is appropriate?

"I am sure these feelings will pass once you go home."

"Tell me what you understand about your illness."

"Tell me why you feel hopeless."

"If I were you, I would ask for a referral to hospice care."

Answer and Explanation

The Correct Answer is B

Rationale:

A. "I am sure these feelings will pass once you go home." is dismissive and does not address the client's current emotional state.

B. "Tell me what you understand about your illness." opens up a dialogue for the client to express their feelings and concerns, which can help in assessing their emotional state and providing support.

C. "Tell me why you feel hopeless." might be too direct and could make the client feel pressured.

D. "If I were you, I would ask for a referral to hospice care." could be perceived as judgmental and does not address the client’s immediate feelings of hopelessness.

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Correct Answer is C

Explanation

Rationale:

A. A client who has pneumonia and has an axillary temperature of 38° C (101° F) has an elevated temperature, but it is less critical than immediate concerns with circulation.

B. A client who has diarrhea and requests clear liquids for breakfast needs dietary adjustments but does not present as urgent.

C. A client who has a cast on the left leg and reports numbness and paresthesia could be experiencing complications such as compartment syndrome, which is an urgent condition requiring immediate assessment.

D. A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150 is important to monitor but not as immediately critical as potential complications with circulation.

A. Reviewing preoperative laboratory test results B. Assessing the current health status of the client C. Ensuring that a signed surgical consent form was completed D. Explaining the operative procedure, risks, and benefits

Correct Answer is D

Explanation

Rationale:

A. Reviewing preoperative laboratory test results is within the nurse’s responsibilities to ensure that all necessary tests have been completed.

B. Assessing the current health status of the client is an important preoperative task for the nurse.

C. Ensuring a signed surgical consent form is completed is within the nurse’s scope to verify that informed consent has been obtained.

D. Explaining the operative procedure, risks, and benefits is typically the responsibility of the surgeon or provider, not the nurse.

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A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless. Which of the following statements by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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