A nurse is caring for a client who reports feeling anxious about abdominal surgery the next day. Which of the following actions should the nurse plan to take?

Suggest that the client talk to his provider.

Encourage the client to verbalize his concerns.

Ask the client to focus on the current day's care tasks.

Explain to the client that there is no need to worry.

Answer and Explanation

The Correct Answer is B

A. While involving the provider might be helpful, it is not the first action the nurse should take. Addressing the client’s immediate emotional needs is crucial.

B. Encouraging the client to verbalize concerns is a key therapeutic communication technique. It allows the client to express anxiety, which can reduce fear and help the nurse provide reassurance and support.

C. Asking the client to focus on current tasks might distract them temporarily but does not address the underlying anxiety about the surgery.

D. Telling the client there is no need to worry dismisses their feelings and may increase anxiety.

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Correct Answer is A

Explanation

A. The client does not need to be in the hospital for TENS therapy, as it is a non-invasive treatment that can be used at home. This statement indicates a misunderstanding that needs clarification.

B. While attaching electrodes to the skin is necessary for TENS therapy, expressing a dislike for this does not indicate a misunderstanding of the procedure.

C. Hoping to reduce pain medication is a reasonable expectation and indicates the client understands the purpose of TENS.

D. Shaving the area where the electrodes are placed is often recommended to ensure good contact and effectiveness of the treatment.

A. Third spacing B. Cardiac tamponade C. Cardiomyopathy D. Ruptured aneurysm

Correct Answer is B

Explanation

A. Third spacing involves the abnormal accumulation of fluid in extracellular spaces and is more commonly associated with hypovolemic or distributive shock, not obstructive shock.

B. Cardiac tamponade is a classic cause of obstructive shock, where the accumulation of fluid in the pericardial sac compresses the heart, leading to decreased cardiac output and obstructed blood flow.

C. Cardiomyopathy is a disease of the heart muscle that can lead to heart failure but is typically associated with cardiogenic shock, not obstructive shock.

D. A ruptured aneurysm would most likely cause hypovolemic shock due to blood loss, not obstructive shock.

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A nurse is caring for a client who reports feeling anxious about abdominal surgery the next day. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements by the client indicates the need for further teaching?

Correct Answer is A

Explanation

A nurse is assisting in providing care for a client who has obstructive shock. Which of the following diagnoses should the nurse expect?

Correct Answer is B

Explanation

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