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 B

Explanation

A. Monitoring vital signs every 12 hours is a standard nursing intervention but may not specifically address the needs of a client with immunosuppression.
B. Inspecting the client's mouth every 8 hours can help in early detection of mouth sores or infections, which are common in immunosuppressed individuals.
C. Providing fresh fruit with meals may not be appropriate for a client with immunosuppression, as fresh fruits can harbor pathogens that pose a risk of infection.
D. Rotating healthcare staff caring for the client helps increases the risk of introducing pathogens to the client. This increases the risk of infection in the immunosuppressed client.

A. Increase intake of milk products. B. Sweeten foods with fructose corn syrup. C. Increase intake of foods high in gluten. D. Consume foods high in bran fiber.

Correct Answer is D

Explanation

A. Milk products can exacerbate symptoms of irritable bowel syndrome in some individuals, especially those with lactose intolerance, and are generally not recommended.
B. Foods sweetened with fructose corn syrup may exacerbate symptoms of irritable bowel syndrome in some individuals and are best avoided.
C. Gluten-containing foods may trigger symptoms in individuals with irritable bowel syndrome, particularly those with gluten sensitivity or celiac disease, and should be limited or avoided as appropriate.
D. Increasing intake of foods high in bran fiber can help regulate bowel movements and alleviate symptoms of constipation, which is often a concern for individuals with irritable bowel syndrome.

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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 creating a plan of care for a client who has cancer and is experiencing Immunosuppression. Which of the following Interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?

Correct Answer is D

Explanation

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