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 ["B","C","E"]
Explanation
Choice A reason:Sleeping for long periods is more characteristic of the depressive phase of bipolar disorder, not mania. Manic behavior typically involves reduced need for sleep, making this an incorrect choice.
Choice B reason:Spending large sums of money impulsively is a hallmark of manic behavior, reflecting poor judgment and heightened energy typical of the manic phase in bipolar disorder.
Choice C reason:Flirtatious interactions are common in mania, as clients may exhibit increased sociability, disinhibition, or hypersexuality, making this a correct indicator of manic behavior.
Choice D reason:Dressing in black or grey clothing is not specifically associated with mania. Manic clients may choose bright or eccentric clothing, but color preference alone is not a reliable indicator of manic behavior.
Choice E reason:Rapid, continuous speech, often pressured, is a classic sign of mania, reflecting the client’s heightened energy, racing thoughts, and difficulty slowing down their communication.
Correct Answer is B
Explanation
Choice A reason: Drooling is not a common side effect of amitriptyline; instead, dry mouth due to anticholinergic effects is more likely.
Choice B reason: Orthostatic hypotension is a well-documented adverse effect of amitriptyline, related to its action on the autonomic nervous system. Nurses should closely monitor for dizziness, falls, or fainting.
Choice C reason: Diarrhea is not a typical adverse effect of amitriptyline; constipation is more commonly seen because of anticholinergic properties.
Choice D reason: Metallic taste in the mouth is not a notable adverse effect of amitriptyline and is more often associated with other medications such as certain antibiotics.
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