A nurse is caring for a patient who is about to undergo a colonoscopy.
The patient expresses, “I am so nervous about what the doctor might find during the test.”. The nurse responds, “Are you feeling anxious about the results of your colonoscopy?” Which of the following communication techniques is the nurse using?

Providing information

Summarizing

Clarification

Confrontation

Answer and Explanation

The Correct Answer is C

Choice A rationale
Providing information is a communication technique where the nurse gives the patient factual and relevant information. In this scenario, the nurse is not providing information but rather seeking to understand the patient’s feelings.
Choice B rationale
Summarizing is a communication technique where the nurse reviews the main points of the conversation to ensure understanding. In this scenario, the nurse is not summarizing the conversation but rather seeking to understand the patient’s feelings.

Choice C rationale
Clarification is a communication technique where the nurse seeks to understand the patient’s message by asking for more information or for elaboration on a point. In this scenario, the nurse is using clarification by restating the patient’s concern in a different way to confirm their understanding.
Choice D rationale
Confrontation is a communication technique where the nurse addresses observed discrepancies or conflicts in the patient’s behavior or communication. In this scenario, the nurse is not confronting the patient but rather seeking to understand their feelings.

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Correct Answer is D

Explanation

Choice A rationale
Potassium levels are not directly affected by lactulose. Lactulose is used to treat hepatic encephalopathy, a complication of cirrhosis, by reducing levels of ammonia in the blood.
Choice B rationale
Glucose levels are not directly affected by lactulose. Lactulose is used to treat hepatic encephalopathy, a complication of cirrhosis, by reducing levels of ammonia in the blood.
Choice C rationale
Bicarbonate levels are not directly affected by lactulose. Lactulose is used to treat hepatic encephalopathy, a complication of cirrhosis, by reducing levels of ammonia in the blood.
Choice D rationale
In clients who have cirrhosis, lactulose is used to decrease levels of ammonia in the bloodstream. Lactulose works by changing the acidity of the gut, which helps trap ammonia in the colon and prevent it from being absorbed into the bloodstream.

A. Sleep problems. B. General muscle aches. C. Paresthesias. D. Restlessness.

Correct Answer is A

Explanation

Choice A rationale
Sleep problems are a common non-gastrointestinal symptom associated with IBS345. These can include difficulty falling asleep, frequent awakenings during the night, and feeling unrefreshed upon waking.
Choice B rationale
General muscle aches are not typically associated with IBS. While some people with IBS may experience discomfort or pain in various parts of their body, these symptoms are not usually described as muscle aches.
Choice C rationale
Paresthesias, or abnormal sensations such as tingling or prickling, are not typically associated with IBS345.
Choice D rationale
Restlessness is not typically associated with IBS. However, some people with IBS may experience increased anxiety or stress, which could potentially lead to feelings of restlessness.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is assessing a patient with irritable bowel syndrome (IBS). The nurse recalls which non-gastrointestinal symptom is associated with the diagnosis.

Correct Answer is A

Explanation

A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care?

A nurse is educating a client who has hepatitis A on how to prevent the spread of the virus. Which of the following strategies should the nurse include in the teaching?

A nurse is teaching a patient about the nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?

A nurse is educating a patient about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?

A nurse is reviewing the medical record of a patient who has a urinary tract infection (UTI). Which of the following findings should the nurse recognize as a risk factor?

A nurse is caring for a patient who has rheumatoid arthritis and tells the nurse that she wears a copper bracelet to help her feel better. Which of the following responses should the nurse make?

A nurse is caring for a client diagnosed with systemic scleroderma five years ago. The nurse plans to assess the client to document the disease’s progression. In addition to skin changes, which of the following findings should the nurse expect?

A nurse is educating a client who has recently been diagnosed with gastroesophageal reflux disease (GERD). The client inquires about foods to avoid. Which food should the nurse advise the client to avoid?