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 A

Explanation

To calculate the IV infusion rate for dopamine hydrochloride, we first need to convert the dose from micrograms per kilogram per minute (mcg/kg/min) to milligrams per hour (mg/hr). The patient weighs 80 kg and the prescribed dose is 4 mcg/kg/min.

First, calculate the dose in mcg/hr: 4 mcg/kg/min x 80 kg x 60 min/hr = 19200 mcg/hr.

Next, convert mcg to mg: 19200 mcg/hr / 1000 mcg/mg = 19.2 mg/hr.

We have an 800 mg dopamine hydrochloride solution in a 250 mL bag. To find out how many mL/hr to administer, we use the following proportion:

(800 mg / 250 mL) = (19.2 mg / X mL).

Solving for X gives us X = (19.2 mg * 250 mL) / 800 mg, which equals 6 mL/hr.

Therefore, the nurse should set the IV infusion pump to deliver 6 mL/hr.

A. "I should limit my intake of dairy products to prevent nausea." B. "I should use a soft-bristle toothbrush to clean my teeth after meals." C. "I should moisten my lips with lemon-glycerin swabs," D. “I should gargle with an alcohol-based mouthwash to kill germs."

Correct Answer is B

Explanation

A. Limiting intake of dairy products may not directly address stomatitis unless the client has an intolerance or allergy to dairy.
B. Using a soft-bristle toothbrush helps prevent trauma to the oral mucosa, which can exacerbate stomatitis. Gentle oral care with a soft toothbrush after meals helps maintain oral hygiene without causing further irritation.
C. Moistening lips with lemon-glycerin swabs may further irritate the oral mucosa due to the acidic nature of lemon.
D. Gargling with an alcohol-based mouthwash can exacerbate stomatitis and should be avoided due to its drying effect on oral tissues.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is providing teaching to a client who is undergoing radiation therapy and has stomatitis. Which of the following responses by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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