A nurse is caring for a client who is scheduled for cataract surgery. The client states, "I see Just fine and have decided to cancel my surgery." Which of the following responses should the nurse make?
"I think you will regret it if you don't have this surgery."
"It's too late to cancel your cataract surgery."
"This surgery is painless, so you shouldn't worry."
"Share with me more about the thoughts that are concerning you.”
The Correct Answer is D
A. "I think you will regret it if you don't have this surgery." – This is non-therapeutic and pressures the client rather than encouraging discussion.
B. "It's too late to cancel your cataract surgery." – This is false information; clients have the right to refuse treatment at any time.
C. "This surgery is painless, so you shouldn't worry." – This minimizes the client’s concerns and dismisses their feelings.
D. "Share with me more about the thoughts that are concerning you." – This therapeutic response encourages the client to express their concerns, allowing the nurse to address them appropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "The body produces antibodies in response to an antigen with active immunity." Active immunity develops after exposure to an antigen, leading to antibody production.
B. "There is lifelong immunity with passive immunity." Passive immunity is temporary (e.g., maternal antibodies).
C. "The body is able to recognize previous exposure to antigens with passive immunity." Passive immunity does not create immune memory.
D. "There is a short duration of immunity with active immunity." Active immunity is long-lasting and sometimes lifelong.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
i. Clean the puncture site with antiseptic and allow it to dry helps reduce the risk of infection and ensures an accurate reading by preventing contamination.
ii. Wipe away the first drop of blood before collecting the sample is the best next step because the first drop may contain tissue fluid, which can affect glucose accuracy.
Incorrect answers:
i
Warming the client's hand before performing the fingerstick improves blood flow, making it easier to obtain an adequate sample, especially in clients with diabetes who may have impaired circulation.
Massage the finger gently from the base toward the tip before puncturing promotes blood flow but should be done carefully to avoid excess squeezing, which can lead to inaccurate results.
ii
Ensure the client's hand is below heart level when obtaining the sample encourages blood flow, making collection easier.
Apply firm pressure to the site after obtaining the sample prevents excessive bleeding and helps close the puncture site.
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