A nurse is caring for a client who reports bilateral knee pain after hiking this past weekend in the mountains on rough ground. He says he is concerned because his cousin died from bone cancer recently. Which of the following actions should the nurse take?
Ask the client why he thinks the pain isn’t a result of hiking.
Tell the client that it is unlikely that he has bone cancer.
Suggest genetic testing so the client can understand his risks.
Explain that the provider will see him and determine a course of action.
The Correct Answer is D
Choice A reason: Asking the client why he thinks the pain isn’t from hiking may come across as dismissive and could heighten his anxiety. It does not address his concerns constructively or facilitate a medical evaluation to determine the cause of the pain.
Choice B reason: Reassuring the client that bone cancer is unlikely without a medical evaluation is inappropriate, as it may minimize his concerns and delay necessary assessment. The nurse should avoid making diagnostic assumptions without provider input.
Choice C reason: Suggesting genetic testing is premature without a medical evaluation to determine if the pain warrants such testing. The client’s pain is likely related to hiking, and a provider’s assessment should guide any further diagnostic steps.
Choice D reason: Explaining that a provider will evaluate the client and determine the next steps is the most appropriate action. This response validates the client’s concerns, ensures a professional assessment of the knee pain, and provides a clear path forward without making assumptions about the cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Zero tablets would result in the patient not receiving the required medication.
Choice B reason: Three tablets equal 15 mg, which is above the prescribed dose and could cause adverse effects.
Choice C reason: Half a tablet equals 2.5 mg, which is insufficient to meet the 10 mg prescribed dose.
Choice D reason: Two tablets equal the prescribed 10 mg, which is correct.
Correct Answer is B
Explanation
Choice A reason:Standing 1 ft away from a verbally abusive client is too close and may escalate the situation by invading their personal space. Maintaining a safe distance (about 3–6 ft) is recommended for safety.
Choice B reason:Speaking slowly in a low, calm voice helps de-escalate the situation by modeling calm behavior and reducing the client’s agitation. This approach promotes a safe environment and encourages de-escalation.
Choice C reason:Forbidding the client from speaking abusively may escalate their agitation, as it can be perceived as confrontational. A non-confrontational approach, like staying calm, is more effective.
Choice D reason:Informing the client of consequences may be appropriate later, but it is not the first action. De-escalation through calm communication is the priority to manage the immediate verbal abuse safely.
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