A nurse is assisting with the care of a client who is receiving chemotherapy and radiation for advanced breast cancer. The client states, "I am thinking about stopping the treatments." Which of the following responses should the nurse make?

"I would feel the same way if I were you."

"Tell me more about what you are thinking."

"Why do you think that would be a good choice?"

"You'll be cancer-free after you complete your treatments."

Answer and Explanation

The Correct Answer is B

This response allows the nurse to actively listen to the client, gain a better understanding of their concerns and reasons behind wanting to stop treatment, and open the door for a more in-depth conversation. It demonstrates a non-judgmental approach and creates an opportunity for the client to express their fears, concerns, or any other factors influencing their decision.

"I would feel the same way if I were you." This response reflects the nurse's personal opinion and may not accurately represent the client's thoughts or feelings. It does not encourage the client to explore their own feelings or provide an opportunity for open communication.

"Why do you think that would be a good choice?" This response may come across as confrontational and judgmental, potentially making the client defensive or shutting down communication. It does not facilitate a therapeutic conversation or encourage the client to express their emotions and concerns openly.

"You'll be cancer-free after you complete your treatments." This response may oversimplify the client's situation or offer false reassurance. It is important to acknowledge the client's feelings and concerns while providing accurate information and support, rather than making unrealistic promises about treatment outcomes.

The nurse should approach the client's expression of wanting to stop treatment with empathy, active listening, and an open mind to provide the necessary support, education, and resources to help the client make informed decisions about their healthcare.

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Free Nursing Study Resources

Correct Answer is C

Explanation

When collecting a stool specimen to check for occult blood, it is important to avoid certain foods that can affect the test results, such as red meat. Red meat can cause false-positive results due to the presence of heme, which can mimic the appearance of blood in the stool.

By avoiding red meat for at least three days before the test, the client can help ensure more accurate results. pasteurized dairy products do not have a direct impact on stool occult blood test results. However, it is important to note that certain medications, such as bismuth subsalicylate (found in Pepto-Bismol), can affect the test results.

The presence of urine in the stool sample can potentially dilute or mask the presence of blood, leading to false-negative results. It is important

Occult blood testing is typically done as a one-time test unless otherwise specified by a healthcare provider. Collecting a specimen once each week for four weeks is unnecessary unless specifically instructed by the healthcare provider.

A. Hgb 13.2 g/dL B. BUN 15 mg/dL C. Urine protein 3+ D. Fasting blood glucose 72 mg/dL

Correct Answer is C

Explanation

Proteinuria can indicate kidney dysfunction or potential complications in pregnancy, such as preeclampsia. The provider needs to be aware of this finding and may want to assess the client further and consider appropriate interventions.

The other laboratory values are within normal ranges and do not require immediate reporting. Hgb (hemoglobin) of 13.2 g/dL is within the normal range for pregnancy. BUN (blood urea nitrogen) of 15 mg/dL is within the normal range, indicating normal kidney function. Fasting blood glucose of 72 mg/dL is within the normal range and indicates normal blood sugar levels.

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A nurse is assisting with the care of a client who is receiving chemotherapy and radiation for advanced breast cancer. The client states, "I am thinking about stopping the treatments." Which of the following responses should the nurse make?

Nursing Test Bank

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