A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, "I'm worried about that bag." Which of the following is an appropriate response by the nurse?

"Have you ever known someone who has a colostomy?

"Let's wait until after the surgery to discuss your concerns about your colostomy."

"You are worried about having to wear a colostomy bag?"

"The surgeon will only place the colostomy if it is necessary.”

Answer and Explanation

The Correct Answer is C

The nurse's response demonstrates active listening and empathy, acknowledging the client's concerns and addressing them directly. It allows the client to express their worries and opens up a dialogue for further discussion and support. This response shows that the nurse is attentive to the client's emotions and is ready to provide information and reassurance regarding the colostomy. It also encourages the client to openly discuss their fears and concerns, which can help alleviate anxiety and promote a trusting nurse-client relationship.

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Correct Answer is C

Explanation

The client needs assistance with morning ADLs, and an occupational therapist is an interprofessional team member who can assist with activities of daily living. Physical therapists focus more on mobility and range of motion exercises, registered dieticians focus on nutrition, and speech-language pathologists work with clients who have difficulty with speech and swallowing.

A. Skin tags noted in the neck region B. A change in appearance of a mole on the shoulder C. A flat, nonpalpable discolored area of skin on the trunk D. Atrophic Finger

Correct Answer is B

Explanation

The nurse's priority finding in this case would be a change in appearance of a mole on the shoulder. Changes in the appearance of moles can be an indication of skin cancer or melanoma, which is a serious and potentially life-threatening condition. It is important for the nurse to assess the mole further and report any concerning changes to the healthcare provider for appropriate evaluation and management. The other findings, such as skin tags, a flat discolored area of skin, or atrophic fingers, may require further assessment and interventions, but they are not as immediately concerning as a potential change in a mole that could indicate skin cancer.

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A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, "I'm worried about that bag." Which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?

Correct Answer is C

Explanation

A nurse is assessing the skin of a client who has worked outdoors for the past 20 years. Which of the following findings is the nurse's priority?

Correct Answer is B

Explanation

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