A home health nurse is assisting in the care of a client following a modified radical mastectomy. Which of the following statements by the client indicates effective coping?

"I would like to see what this looks like today."

"I'm going to close my eyes until you are done dressing my incision."

"I would just like to spend my day staring at the TV."

"I'm planning to stay at home until my breast reconstructive surgery."

Answer and Explanation

The Correct Answer is A

A. "I would like to see what this looks like today": This indicates effective coping as the client is engaging with their condition and facing the changes directly, which is an important step in emotional adjustment and recovery.
B. "I'm going to close my eyes until you are done dressing my incision": This suggests avoidance of the situation, which may indicate difficulty in coping with the reality of their condition.
C. "I would just like to spend my day staring at the TV": This may indicate withdrawal or avoidance, which is not an effective coping strategy.
D. "I'm planning to stay at home until my breast reconstructive surgery": While this may be part of the client's plan, it does not directly indicate effective coping with the current situation.

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Correct Answer is C

Explanation

A. The medication reduces the rate at which the kidneys filter waste: This is incorrect as oxybutynin does not affect kidney function or the rate at which kidneys filter waste.
B. The medication decreases the sensitivity of the urethral sphincter: This is incorrect because oxybutynin primarily affects bladder muscle contraction, not the sensitivity of the urethral sphincter.
C. The medication prevents the bladder muscles from involuntarily contracting: This is correct as oxybutynin is an anticholinergic medication that reduces involuntary bladder contractions, leading to less frequent urination.
D. The medication blocks the nervous system impulse to produce urine: This is incorrect because oxybutynin works by blocking the action of acetylcholine in the bladder, not by blocking impulses to produce urine.

A. Changed mental status B. WBC count 9,000/mm³ (5000 to 10,000/mm³) C. Diminished reflexes D. Temperature 37.3° C (99.1° F)

Correct Answer is A

Explanation

A. Changed mental status: This is a common indicator of a bladder infection in older adults, who may present with confusion or altered mental status instead of classic symptoms like dysuria or frequency.
B. WBC count 9,000/mm³ (5000 to 10,000/mm³): This WBC count is within the normal range and does not specifically indicate a bladder infection.
C. Diminished reflexes: This is not a typical indicator of a bladder infection and may suggest other neurological issues.
D. Temperature 37.3° C (99.1° F): This temperature is within the normal range and does not suggest an infection unless elevated or accompanied by other symptoms.

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A home health nurse is assisting in the care of a client following a modified radical mastectomy. Which of the following statements by the client indicates effective coping?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is talking with a client who takes oxybutynin. The client asks why he does not urinate as often. Which of the following information should the nurse include about the action of oxybutynin?

Correct Answer is C

Explanation

A nurse is collecting data from an older adult client. Which of the following findings should indicate to the nurse that the client has a bladder infection?

Correct Answer is A

Explanation

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