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 C
Explanation
Choice A reason: Pseudoparkinsonism involves tremors, shuffling gait, rigidity, and bradykinesia, but it does not cause high fever, blood pressure instability, or diaphoresis.
Choice B reason: Tardive dyskinesia involves involuntary movements such as lip smacking, tongue protrusion, or grimacing, and it develops gradually after long-term medication use. It does not cause acute systemic symptoms.
Choice C reason: Neuroleptic malignant syndrome (NMS) is a rare but life-threatening reaction to antipsychotics. It presents with hyperpyrexia, autonomic instability (blood pressure changes, diaphoresis), muscle rigidity, and altered mental status. This fits the scenario.
Choice D reason: Acute dystonia is characterized by sudden, severe muscle contractions (often of the neck, eyes, or jaw) but does not include fever or autonomic instability.
Correct Answer is D
Explanation
Choice A reason: Being preoccupied with repetitive activities such as folding clothes can sometimes occur in individuals with obsessive-compulsive disorder or autism spectrum disorders, but it is not a defining feature of schizophrenia.
Choice B reason: Elation and unusual talkativeness are hallmark features of mania in bipolar disorder, not schizophrenia.
Choice C reason: Recurrent thoughts of past trauma are more characteristic of post-traumatic stress disorder (PTSD), not schizophrenia.
Choice D reason: Creating words that have no meaning, also called neologisms, is a common positive symptom of schizophrenia and reflects disorganized thought processes.
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