A nurse is caring for a client who expresses conflicted feelings about undergoing a tubal ligation. Which of the following responses should the nurse make?

"Maybe you should wait to have the procedure."

"This is a common feeling for clients to have before the procedure."

Share more with me about your concerns related to the procedure."

"Why are you concerned about the procedure?"

Answer and Explanation

The Correct Answer is C

A. "Maybe you should wait to have the procedure."

This response may come across as directive and could potentially influence the client's decision. It does not encourage the client to express their feelings or concerns but suggests a specific course of action.

B. "This is a common feeling for clients to have before the procedure."

While it's true that many clients may experience conflicted feelings before undergoing certain procedures, this response is somewhat dismissive. It does not invite the client to explore their specific concerns and may not address the individual nature of the client's feelings.

C. Share more with me about your concerns related to the procedure.

This response encourages the client to express their concerns and provides an opportunity for the nurse to understand the specific issues causing the conflict. It demonstrates empathy and openness, fostering a therapeutic nurse-client relationship. By inviting the client to share more, the nurse can gain insight into the client's emotional and psychological concerns about the tubal ligation.

D. "Why are you concerned about the procedure?"

While this question is an attempt to understand the client's concerns, it may be perceived as too direct or confrontational. The wording might make the client feel defensive or pressured to justify their feelings. The more open-ended phrasing in option C is generally more conducive to therapeutic communication.

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Correct Answer is E

Explanation

Administer the medication twice daily.

Incorrect. The prescription specifies TID (three times daily), not twice daily.

Administer the medication as needed for pain.

Incorrect. The prescription provides specific dosing instructions (100 mg now, then 50 mg TID with food), and it is not meant for administration as needed.

Administer the medication 2 hr after meals.

Incorrect. The prescription specifies that indomethacin should be taken with food, so administering it 2 hours after meals is not in accordance with the instructions.

Administer a loading dose of 100 mg PO.

Incorrect. The initial dose of 100 mg is not considered a loading dose but rather the first dose in the prescribed regimen.

Administer the medication with a snack.

Correct. The prescription indicates that indomethacin should be taken with food. Administering

A. The client requires additional help to stand. B. The client has increased difficulty dressing C. The client reports insomnia. D. The client has difficulty swallowing

Correct Answer is D

Explanation

A. The client requires additional help to stand:

While needing additional help to stand is relevant information, it may be expected in Parkinson's disease due to issues with mobility and balance. It is not an immediate priority unless it signals a significant change or poses an immediate risk.

B. The client has increased difficulty dressing:

Increased difficulty dressing is a common manifestation of Parkinson's disease and is important to address but may not be as urgent as issues related to swallowing.

C. The client reports insomnia:

Insomnia is a common issue in Parkinson's disease but may not be an immediate priority unless it significantly impacts the client's overall well-being or contributes to other health concerns.

D. The client has difficulty swallowing:

This is the correct answer. Difficulty swallowing (dysphagia) in Parkinson's disease is a serious concern as it can lead to complications such as aspiration pneumonia and malnutrition. It requires prompt attention and intervention to ensure the client's safety and prevent potential complications.

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A nurse is caring for a client who expresses conflicted feelings about undergoing a tubal ligation. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's new prescription for indomethacin 100 mg PO now, then 50 mg PO TID with food for pain relief. Which of the following actions should the nurse take?

Correct Answer is E

Explanation

A nurse in a long-term care facility is collecting data for an interdisciplinary care conference for a client who has Parkinson's disease. Which of the following findings is the priority for the nurse to report at the conference?

Correct Answer is D

Explanation

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