A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse about what the provider might be planning to do. Which of the following nursing responses should the nurse make?
Provide the client with articles from the internet that explain colon cancer stages.
Encourage the client to write down questions to ask the provider.
Explain the various options available for treatment based on the cancer stage.
Assure the client that the provider will explain what has been planned.
The Correct Answer is B
Choice A reason: Providing the client with articles from the internet that explain colon cancer stages is not the best approach. While it is important for the client to understand their condition, the nurse should ensure that the information is accurate and tailored to the client’s specific situation. Additionally, the nurse should facilitate a direct conversation between the client and the healthcare provider to address any questions or concerns.
Choice B reason: Encouraging the client to write down questions to ask the provider is an excellent approach. This empowers the client to actively participate in their care and ensures that they have a clear understanding of their diagnosis and treatment options. It also helps the client to remember important questions during their consultation with the provider.
Choice C reason: Explaining the various options available for treatment based on the cancer stage is not within the nurse’s scope of practice. Detailed discussions about treatment options should be conducted by the healthcare provider, who has the expertise to provide accurate and comprehensive information tailored to the client’s specific medical condition.
Choice D reason: Assuring the client that the provider will explain what has been planned is a supportive response, but it does not actively engage the client in their care. While it is important to reassure the client, the nurse should also encourage the client to prepare questions and participate in discussions with the provider to ensure they fully understand their treatment plan.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Temperature 38.2°C (100°F)
A temperature of 38.2°C (100°F) is slightly elevated and could indicate an infection or other inflammatory response. However, it is not immediately life-threatening and does not require urgent intervention compared to other symptoms. Monitoring and further assessment are necessary, but it is not the highest priority.
Choice B reason: The client reports weakness of the lower extremities
Weakness of the lower extremities can be a side effect of epidural analgesia. While it is concerning and requires monitoring, it is not as immediately critical as severe hypotension. The nurse should assess the extent of the weakness and ensure the client’s safety, but it is not the top priority.
Choice C reason: The client reports some itching
Itching is a common side effect of opioid analgesia and, while uncomfortable, it is not dangerous. It can be managed with antihistamines or other medications. This symptom does not require urgent intervention and is not the highest priority.
Choice D reason: Blood pressure 80/56 mm Hg
A blood pressure of 80/56 mm Hg indicates significant hypotension, which can be life-threatening for both the mother and the fetus. Hypotension can lead to decreased perfusion to vital organs and the placenta, potentially causing fetal distress. Immediate intervention is required to stabilize the client’s blood pressure and ensure adequate blood flow to the fetus. This makes it the highest priority for the nurse to address.
Correct Answer is A
Explanation
Choice A reason:
Offering the child a choice of taking the medication with juice or water is an effective strategy. Giving children choices helps them feel a sense of control and can reduce resistance. This approach respects the child’s autonomy and can make the medication-taking process less stressful for both the child and the nurse.
Choice B reason:
Telling the child it is candy is not an appropriate strategy. This can lead to mistrust and confusion, as the child may expect candy and be disappointed or upset when they realize it is medication. It is important to be honest with children about what they are taking to build trust and ensure they understand the importance of the medication.
Choice C reason:
Telling the child he will have to have a shot instead is not a helpful approach. This can create fear and anxiety about both the medication and future medical procedures. Using threats or scare tactics can damage the child’s trust in healthcare providers and make them more resistant to treatment in the future.
Choice D reason:
Hiding the medication in a large dish of ice cream is not recommended. While it might seem like an easy way to get the child to take the medication, it can lead to issues with dosage accuracy and the child may develop an aversion to the food used to hide the medication. It is better to use transparent and honest methods to encourage cooperation.
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