A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I feel worn out and don't have the energy to fight this disease. Am I dying?" Which of the following responses should the nurse make?
"Why do you think you are dying?"
"I think you should have some quiet time to get some rest."
"You are concerned that you are dying?"
"It is normal to feel this way with your type of cancer."
The Correct Answer is C
A. "Why do you think you are dying?" This question can sound confrontational and may cause the client to feel defensive. It does not acknowledge the client’s feelings or encourage further communication about their concerns.
B. "I think you should have some quiet time to get some rest." While rest is important, this response dismisses the client’s emotional expression and does not address their fear or need for support regarding dying.
C. "You are concerned that you are dying?" This statement reflects the client’s feelings and encourages them to share more about their fears and concerns. It validates their emotions and opens a supportive dialogue.
D. "It is normal to feel this way with your type of cancer." Although normalizing feelings can be helpful, this response might minimize the client’s personal experience and does not directly explore their expressed worry about dying.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Overweight: A body mass index (BMI) between 25 and 29.9 is classified as overweight. Since the client’s BMI is 32, this category does not apply.
B. Underweight: A BMI less than 18.5 is considered underweight. The client’s BMI of 32 is well above this range, ruling out this classification.
C. Obesity class I: A BMI between 30 and 34.9 falls into obesity class I. The client’s BMI of 32 fits into this category, indicating a level of obesity that increases the risk for chronic health conditions.
D. Normal weight: Normal weight is defined as a BMI between 18.5 and 24.9. Since the client’s BMI exceeds this range, this classification is not appropriate.
Correct Answer is A
Explanation
A. Syringe: A syringe is essential for irrigating a stage 4 pressure injury to cleanse the wound thoroughly without causing trauma to the tissue. Proper irrigation helps remove debris and bacteria, promoting healing. A syringe allows controlled, gentle flushing of the wound bed, which is important in managing deep, complex wounds like stage 4 pressure injuries.
B. Tongue depressor: A tongue depressor is generally used to examine the throat and oral cavity and is not suitable for wound care. It lacks the precision and safety needed for wound cleaning or dressing application, especially for deep pressure ulcers.
C. Adhesive tape: Adhesive tape is used to secure dressings but is not a primary supply for wound care itself. In managing a stage 4 pressure injury, the priority is proper wound cleaning and dressing materials rather than just securing them, so adhesive tape is secondary.
D. Cotton-tipped applicator: Cotton-tipped applicators are commonly avoided in wound care because they can leave fibers in the wound bed and potentially cause trauma or infection. They are not recommended for cleaning or applying medication to deep pressure ulcers, where more sterile, gentle methods are needed.
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