A nurse is assisting in the care of a 72-year-old female client who recently had a stroke and is being monitored for complications.
Complete the following sentence by using the lists of options. The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
The client is at risk for developing: Response 1: Deep vein thrombosis (DVT)
Due to: Response 2: Prolonged immobility (which is common after a stroke and can lead to DVT).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Declining estrogen levels during perimenopause can indeed cause headaches. Estrogen influences neurotransmitters like serotonin, and its decline can lead to vasodilation, contributing to headaches.
Choice B rationale
Papanicolaou tests should continue even after menopause. Cervical cancer risk persists, and regular screening remains essential for early detection.
Choice C rationale
Perimenopause involves irregular periods. It's common for menstrual cycles to become erratic before they eventually cease at menopause.
Choice D rationale
The best time for a breast self-examination is after menstruation ends, when breasts are less tender and swollen. Doing it on the first day of the period is not recommended.
Correct Answer is A
Explanation
Choice A rationale
"Let's talk about what you're thinking.”. This response encourages open communication and allows the nurse to address any concerns or confusion the client may have. It shows empathy and helps build a therapeutic relationship.
Choice B rationale
"Is this something you think you can do?" While this question assesses the client's confidence, it may not address underlying concerns that cause distraction. The focus should be on understanding the client's thoughts and feelings first.
Choice C rationale
"Are you feeling okay?" This question is more about physical well-being, which may not be the reason for the client's distraction. It's better to address emotional or cognitive concerns related to the teaching session.
Choice D rationale
"Do you need more time to absorb this information?" While offering more time can be helpful, it doesn't directly address the client's distraction. Engaging the client in a conversation about their thoughts can be more effective in understanding their needs.
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