A nurse is caring for a client who states, "The doctor says I need to have surgery to replace the bones in my knee and I'm terrified." Which of the following therapeutic responses should the nurse make?

"Your doctor has been performing this surgery for a long time now."

"Would it help you to talk more with me about how you feel?"

I have prayed for you and everything is going to be fine."

"Why are you afraid to have surgery all of a sudden?"

Answer and Explanation

The Correct Answer is B

A. "Your doctor has been performing this surgery for a long time now." While this statement aims to reassure the client by emphasizing the doctor's experience, it does not address the client's feelings or encourage further discussion about their fears.
B. "Would it help you to talk more with me about how you feel?" This is a therapeutic response that encourages the client to express their feelings and concerns, showing empathy and providing an opportunity for the client to discuss their fears in more detail.
C. "I have prayed for you and everything is going to be fine." While this statement may be comforting to some, it can be inappropriate and may not address the client's specific fears or promote open communication. It also assumes the client's belief system, which might not be the same as the nurse's.
D. "Why are you afraid to have surgery all of a sudden?" This response can be perceived as dismissive and might make the client feel judged or misunderstood. It does not encourage a supportive discussion about the client's fears.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Plan to initiate a bladder retraining program for the client. This is important but not the immediate first action.
B. Protect the client's perineal skin with a moisture barrier. This is a preventive measure but not the first step in evidence-based practice.
C. Teach the client to perform pelvic floor muscle exercises. This is useful but not the immediate first action.
D. Request a prescription for catheter removal. Indwelling urinary catheters should be removed as soon as possible to reduce the risk of infection, which aligns with evidence-based practice.

A. Cirrhosis of the liver is a risk factor for the development of sleep apnea. B. People who have sleep apnea fall asleep uncontrollably throughout the day. C. The most common type of sleep apnea is central sleep apnea. D. Sleep apnea causes airflow through the mouth and nose to stop for at least 10 seconds.

Correct Answer is D

Explanation

A. Cirrhosis of the liver is a risk factor for the development of sleep apnea. Cirrhosis is not a known risk factor for sleep apnea. Risk factors include obesity, large neck circumference, and smoking.
B. People who have sleep apnea fall asleep uncontrollably throughout the day. This describes narcolepsy, not sleep apnea. Sleep apnea may cause daytime sleepiness but not uncontrollable sleep attacks.
C. The most common type of sleep apnea is central sleep apnea. Obstructive sleep apnea is the most common type, not central sleep apnea.
D. Sleep apnea causes airflow through the mouth and nose to stop for at least 10 seconds. This is the correct definition of sleep apnea.

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A nurse is caring for a client who states, "The doctor says I need to have surgery to replace the bones in my knee and I'm terrified." Which of the following therapeutic responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an indwelling urinary catheter in place to manage occasional urinary incontinence. When following evidence- based practice, which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A community health nurse is preparing an educational program about sleep and rest. Which of the following information should the nurse include about sleep apnea?

Correct Answer is D

Explanation

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