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 ["2.1"]

Explanation

To calculate the total daily dose of tobramycin, we use the formula:

Total Daily Dose (mg) = Dose (mg/kg/day) × Weight (kg)
Total Daily Dose (mg)=Dose (mg/kg/day)×Weight (kg)

In this case:

Total Daily Dose=3 mg/kg/day × 85 kg
Total Daily Dose=255mg/day

Since the total daily dose is divided into three doses, the nurse should administer:

Dose per Administration =Total Daily Dose/Number of Doses per Day
Dose per Administration = 255 mg/3
Dose per Administration≈85mg

Now, to calculate the volume (mL) to administer, we use the concentration of the available tobramycin solution:

Volume (mL)=Dose per Administration (mg)/Concentration (mg/mL)

In this case:

Volume=85mg/40mg/mL
Volume≈2.1mL

Therefore, the nurse should administer approximately 2.1 mL of tobramycin per dose, rounded to the nearest tenth.

A. Initiate a 24-hr urine collection for a client who has end-stage kidney disease. B. Change the dressing for a client who has a decubitus ulcer. C. Administer an antibiotic for a client who has methicillin-resistant Staphylococcus aureus. D. Initiate oxygen therapy via nasal cannula for a client who has COPD.

Correct Answer is D

Explanation

A. Initiate a 24-hr urine collection for a client who has end-stage kidney disease:

While a 24-hour urine collection is important for assessing kidney function, it is not an urgent task and can be scheduled at a later time without compromising the client's immediate well-being.

B. Change the dressing for a client who has a decubitus ulcer:

Changing the dressing for a decubitus ulcer is important for wound care, but it is not as urgent as addressing respiratory distress in a client with COPD.

C. Administer an antibiotic for a client who has methicillin-resistant Staphylococcus aureus:

Administering an antibiotic for a client with a methicillin-resistant Staphylococcus aureus (MRSA) infection is important, but it is not as immediately critical as ensuring adequate oxygenation in a client with COPD. Respiratory issues take precedence in the hierarchy of priorities.

D. Initiate oxygen therapy via nasal cannula for a client who has COPD.

The priority should be given to tasks that address immediate threats to the client's well-being or safety. In this scenario, initiating oxygen therapy for a client with COPD is a priority because it addresses respiratory distress and hypoxia, which are critical concerns in individuals with COPD. Respiratory interventions take precedence to ensure adequate oxygenation.

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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

Correct Answer is ["2.1"]

Explanation

A nurse is prioritizing care for four clients. Which of the following tasks should the nurse perform first?

Correct Answer is D

Explanation

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