A nurse in a clinic is caring for a client who requires a hysterectomy and states, "I've decided to delay having this surgery for several months." Which of the following statements should the nurse make?

"This type of surgery is very easy and should not cause a major disruption in your activities."

"Most women don't have any problems during their recovery."

"Can you tell me your reasons for delaying the surgery?"

"If this happened to one of my family members, I would tell them to go ahead and not wait."

Answer and Explanation

The Correct Answer is C

Choice A reason: Stating that "This type of surgery is very easy and should not cause a major disruption in your activities" minimizes the client's concerns and may not be accurate for every individual. Each person's experience with surgery and recovery is unique, and it is important to acknowledge and address the client's specific concerns and reasons for delaying the surgery.

Choice B reason: Saying "Most women don't have any problems during their recovery" is a generalization that may not apply to every client. It does not address the client's individual fears or concerns and may come across as dismissive of their feelings.

Choice C reason: The correct answer is c because asking, "Can you tell me your reasons for delaying the surgery?" shows empathy and allows the client to express their concerns. This opens a dialogue where the nurse can provide information, support, and address any specific issues the client may have about the surgery and recovery process.

Choice D reason: Telling the client, "If this happened to one of my family members, I would tell them to go ahead and not wait," inserts the nurse's personal opinion and may not be helpful to the client. It is important to focus on the client's feelings and concerns rather than offering personal anecdotes or advice.

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Correct Answer is D

Explanation

Choice A reason: A dry raised rash is not a typical finding in scleroderma. Scleroderma primarily affects the skin and connective tissues, leading to hardening and tightening of the skin.

Choice B reason: Excessive salivation is not associated with scleroderma. Clients with scleroderma may experience dry mouth (xerostomia) instead.

Choice C reason: Periorbital edema is not a characteristic feature of scleroderma. Scleroderma involves systemic sclerosis that affects the skin, blood vessels, and internal organs.

Choice D reason: The correct answer is d because hardened skin is a hallmark of scleroderma. This autoimmune disease causes the skin to become thickened, tight, and stiff due to excessive collagen deposition.

A. Rub the client's feet briskly for several minutes. B. Obtain a pair of slipper socks for the client. C. Increase the client's oral fluid intake. D. Place a moist heating pad under the client's feet.

Correct Answer is B

Explanation

Choice A reason: Rubbing the client's feet briskly can increase circulation temporarily, but it may also cause discomfort or irritation, especially if the client has compromised vascular health.

Choice B reason: The correct answer is b because obtaining a pair of slipper socks for the client can help keep the feet warm and improve comfort. Warm socks are a non-invasive and safe way to address the client's complaint of cold feet.

Choice C reason: Increasing the client's oral fluid intake is important for overall health, but it is not a direct solution for addressing cold feet due to vascular occlusion.

Choice D reason: Placing a moist heating pad under the client's feet can be risky, especially for clients with vascular issues, as it can lead to burns or skin damage. Dry heat, if used, should be carefully monitored to avoid injury.

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A nurse in a clinic is caring for a client who requires a hysterectomy and states, "I've decided to delay having this surgery for several months." Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has scleroderma. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?

Correct Answer is B

Explanation

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