A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment, the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?

Support the client in her personal decision.

Refer the client to a counselor.

Encourage the client not to give up.

Suggest that the client talk with a breast cancer survivor.

Answer and Explanation

The Correct Answer is A

A.   Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare.
B.   Referring the client to a counselor can be appropriate, but the primary response should be to support the client's decision.
C.   Encouraging the client not to give up may not be appropriate if the client has made a well- considered decision to refuse further treatment.
D.   Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.

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Correct Answer is D

Explanation

A) Placing one crutch on each side when assuming a sitting position is not indicative of safe crutch use as it does not provide adequate support or balance during the transition from standing to sitting.
B) Placing weight on the axillae, or underarms, can cause nerve damage due to the pressure on the radial nerve located there; therefore, this is not a safe practice.
C) When descending stairs, the affected leg should be moved first, followed by the crutches and then the unaffected leg, to maintain balance and safety. Therefore, moving the unaffected leg onto a step first is not the safest option.
D) Having slightly flexed elbows allows for proper distribution of weight and helps in maintaining balance while ambulating with crutches, making it the correct and safe method.

A. "I will get up and walk with the physical therapy aide." B. "I will do leg exercises every hour while I am awake." C. "I will take off my antiembolic stockings before I go to bed." D. "I will use a footstool while I sit in a chair."

Correct Answer is C

Explanation

A. Getting up and walking with the physical therapy aide promotes early mobility and is a positive statement.
B. Doing leg exercises every hour while awake helps prevent complications such as deep vein thrombosis (DVT).
C. Leaving antiembolic stockings on during sleep helps prevent DVT, so the client's statement is incorrect.
D. Using a footstool while sitting in a chair promotes proper positioning and comfort.

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A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment, the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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