A nurse is caring for a client who has a new colostomy. The client tells the nurse, "I don't want anyone to see me with this bag." Which of the following responses should the nurse make?

"Many people have colostomies and they live full lives."

"Would it help to speak with someone else who has a colostomy?"

"Why don't you want people to see the colostomy bag?"

"You shouldn't worry, the colostomy is probably only temporary."

Answer and Explanation

The Correct Answer is A

Correct. This response provides reassurance and normalizes the client's experience by emphasizing that having a colostomy does not prevent individuals from leading fulfilling lives. B. Incorrect. While peer support can be beneficial, this response does not directly address the client's concerns or provide immediate reassurance.
C. Incorrect. This response may put the client on the spot and make them feel uncomfortable discussing their feelings. It's important to respect the client's privacy and autonomy in disclosing their reasons for not wanting others to see the colostomy bag.
D. Incorrect. Making assumptions about the temporary nature of the colostomy without medical confirmation may not be accurate and can contribute to false hope or disappointment if the client's colostomy is permanent. It's important to provide honest and accurate information while being supportive of the client's emotional needs.

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Correct Answer is A

Explanation

A. Bronchodilators, such as short-acting beta-agonists (e.g., albuterol), are the first-line medications for relieving acute bronchoconstriction and severe wheezing in asthma exacerbations.
B. Beta blockers are contraindicated in asthma as they can exacerbate bronchoconstriction and worsen symptoms.
C. Inhaled steroids are used for long-term control of asthma symptoms and prevention of exacerbations but are not typically used as first-line treatment for acute severe wheezing.
D. Anti-inflammatory agents such as corticosteroids are also used for long-term control of asthma and reducing airway inflammation but are not the first choice for immediate relief of severe wheezing.

A. Anger B. Depression C. Acceptance D. Denial

Correct Answer is D

Explanation

A. Anger is characterized by feelings of hostility and frustration, which may arise as the client acknowledges the reality of their situation.
B. Depression involves feelings of sadness, hopelessness, and despair, often occurring as the client comes to terms with the impending loss or changes associated with their condition.
C. Acceptance involves acknowledging and coming to terms with the reality of the situation without resistance or denial.
D. Denial is a defense mechanism where the client refuses to acknowledge the reality of their situation, such as the need for a lengthy recovery period after open heart surgery. The client's statement reflects denial, as they are minimizing the seriousness of the surgery and its impact on their recovery.

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A nurse is caring for a client who has a new colostomy. The client tells the nurse, "I don't want anyone to see me with this bag." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has asthma. Which of the following prescribed medications should the nurse administer first for severe wheezing?

Correct Answer is A

Explanation

A nurse is caring for a client who is scheduled for open heart surgery. The client states, "I am confident I will be able to go home a few hours after the surgery." The nurse should identify that the client is experiencing which of the following stages of grief?

Correct Answer is D

Explanation

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