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."

Answer and Explanation

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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Correct Answer is C

Explanation

A. While important for documenting the client's progress, this choice does not directly promote communication among staff members.
B. While essential for maintaining accurate records, this action does not directly facilitate communication among staff.
C. Interdisciplinary team meetings allow healthcare professionals from different disciplines to collaborate, share information, and develop comprehensive care plans tailored to the client's needs. This promotes effective communication among staff caring for the client with expressive aphasia and right hemiparesis.
D. While important for the client's safety, this action does not address the need for ongoing communication and collaboration among staff members.

A. A residual of 65 mL 1 hr postprandial. B. A history of gastroesophageal reflux disease. C. Receiving a high-osmolarity formula. D. Sitting in high-Fowler's position during the feeding.

Correct Answer is B

Explanation

A. This amount of residual is generally considered safe; guidelines often cite higher residuals (e.g., >100 mL) as concerning.
B. Clients with a history of gastroesophageal reflux disease (GERD) are at increased risk for aspiration, particularly when lying flat, because the lower esophageal sphincter may not function properly, allowing stomach contents to move back into the esophagus.
C. While high-osmolarity formulas can contribute to diarrhea, they are not directly linked to an increased risk of aspiration.
D. Sitting in a high-Fowler’s position (semi-upright) during feedings is actually recommended to reduce the risk of aspiration.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following factors places the client at risk for aspiration?

Correct Answer is B

Explanation

A nurse manager is preparing to meet with a group of staff nurses who are experiencing conflict. Which of the following mediation strategies should the nurse manager plan to implement to resolve the conflict?

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