A nurse is caring for a client who is recovering from a cerebrovascular accident in a rehabilitation facility. The client tells the nurse, "I am sick of being in here, and I want to go home." Which of the following responses should the nurse make?
"It would be best to discuss your feelings with your provider."
"It must be very frustrating for you to be here."
"You are making progress in your treatment plan."
"You should call your partner to discuss this."
The Correct Answer is B
A. This response deflects the client's feelings and does not acknowledge the client's frustration.
B. This response acknowledges the client's feelings of frustration and validates their experience, showing empathy and understanding.
C. While it is important to encourage the client's progress, this response does not directly address the client's expressed emotions.
D. Suggesting that the client call their partner may not address the underlying feelings of frustration and may overlook the opportunity for therapeutic communication.
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Related Questions
Correct Answer is C
Explanation
A. Using a child as an interpreter can be inappropriate and may not ensure accurate communication, especially for sensitive topics such as medical history and symptoms.
B. While involving the client's partner may seem helpful, it may not ensure accurate translation, and the partner may not be proficient in medical terminology.
C. Requesting a female interpreter through the facility ensures accurate and confidential communication while respecting the client's cultural preferences and privacy.
D. While asking a nursing student who speaks the same language as the client may seem convenient, it may not ensure accurate translation, and the student may not have the necessary training in medical interpretation.
Correct Answer is A
Explanation
A. Documenting the transfusion reaction in the medical record is essential for accurate documentation and communication among the healthcare team.
B. Administering epinephrine subcutaneously is not indicated for febrile transfusion reactions. It is instead indicated for anaphylaxis.
C. Infusing lactated Ringer's IV may be indicated for managing transfusion reactions, but the specific treatment depends on the type and severity of the reaction. It's essential to consult with the healthcare provider for appropriate interventions.
D. Placing the blood bag in a biohazard bag before discarding is a routine procedure for disposing of blood products but is not the immediate priority when managing a transfusion reaction.
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