A nurse is assessing self-management skills for a client who has preeclampsia without severe features. Which of the following client statements should the nurse recognize as an indication the client is coping effectively?

"I need to be discharged now due to household responsibilities."

"I am so bored of being on restricted activity."

"I am using a notebook to record questions for my providers."

"I don't want any visitors while I'm here."

Answer and Explanation

The Correct Answer is C

Rationale:
A. "I need to be discharged now due to household responsibilities.": This statement reflects denial of the seriousness of preeclampsia and poor coping, as the client is prioritizing home duties over health. Clients with preeclampsia require rest, monitoring, and adherence to medical advice to prevent complications such as eclampsia or HELLP syndrome.

B. "I am so bored of being on restricted activity.": Expressing boredom is a normal emotional reaction but does not indicate effective coping. It shows frustration with activity limitations rather than acceptance and constructive adaptation to the treatment plan.

C. "I am using a notebook to record questions for my providers.": Keeping a notebook demonstrates proactive engagement and self-management. This behavior reflects effective coping, as the client is taking responsibility for understanding their condition and participating in care decisions to promote safety and adherence.

D. "I don't want any visitors while I'm here.": Avoiding social support may indicate withdrawal or emotional distress. Isolation can hinder coping and increase anxiety, whereas maintaining open communication and support networks usually improves adjustment to the condition.

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Correct Answer is B

Explanation

Rationale:
A. Tell the client they can continue to drink cranberry juice while taking warfarin: Cranberry juice can potentiate the effects of warfarin, increasing the risk of bleeding. Clients should be cautioned to avoid interactions that affect anticoagulation.

B. Consult the pharmacist about potential interactions between the client's regular medications and warfarin: Warfarin has numerous drug and food interactions that can significantly alter its effectiveness. Consulting a pharmacist ensures safe management of concurrent medications and reduces the risk of adverse effects.

C. Recommend the client take warfarin at the same time as other medications: While consistent dosing is important, the priority is verifying potential interactions with other medications rather than simply synchronizing administration times.

D. Advise the client that over-the-counter medications remain safe to consume as needed: Many OTC medications, such as NSAIDs, can increase bleeding risk when taken with warfarin. Clients should always check with their provider or pharmacist before using OTC products.

A. "Your child can return to school 24 hours after beginning antibiotics." B. "Your child can return to school once the fever has subsided." C. "Your child can return to school after a negative titer result." D. "Your child can return to school once the lesions have crusted over."

Correct Answer is D

Explanation

Rationale:
A. "Your child can return to school 24 hours after beginning antibiotics.": Varicella (chickenpox) is a viral infection, so antibiotics are not effective unless there is a secondary bacterial infection.

B. "Your child can return to school once the fever has subsided.": Although the fever may resolve, the child remains contagious until all lesions have crusted over, so returning at this stage risks spreading infection.

C. "Your child can return to school after a negative titer result.": Titer testing is used to assess immunity, not for determining when an active infection is no longer contagious.

D. "Your child can return to school once the lesions have crusted over.": This is the correct statement because a child with varicella is contagious until all vesicular lesions have dried and crusted, usually about 5–7 days after onset.

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A nurse is assessing self-management skills for a client who has preeclampsia without severe features. Which of the following client statements should the nurse recognize as an indication the client is coping effectively?

Nursing Test Bank

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