A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?

"Let's talk about what activities you are going to participate in tomorrow."

"This is something you should discuss with your parents when they return."

"You need to focus on getting better instead of what may or may not happen."

"Let's talk about it. Tell me more about what you are thinking."

Answer and Explanation

The Correct Answer is D

A.   Avoids the child's question and deflects to a future topic.
B.   Defers the conversation and may not address the child's immediate concerns.
C.   Minimizes the child's feelings and concerns about the future.
D.   Encourages open communication and allows the child to express feelings and fears.

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Correct Answer is C

Explanation

A. While blood pressure changes may occur with aging, it is not a direct cause of dehydration.
B. Older adults tend to have a decrease in the percentage of body water, contributing to a higher risk of dehydration.
C. Aging can lead to a decrease in renal function, affecting the body's ability to concentrate urine and conserve water.
D. Saliva production typically decreases with aging and is not a significant factor in dehydration.

A. Instruct the client to stay in the bathtub no longer than 20 min. B. Fill the bathtub with water at 48 C (118.4° F). C. Use bath oil in the client’s bathtub D. Provide the client with non-slip bath strips in the bathtub.

Correct Answer is D

Explanation

A. The duration of time in the bathtub should be based on the client's tolerance but should not exceed 20 minutes.
B. Water temperature should be warm but not excessively hot to avoid burns or discomfort.
C. Bath oils can make the bathtub slippery and increase the risk of falls. They should be avoided.
D. Providing non-slip bath strips enhances safety and helps prevent the client from slipping in the bathtub.

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A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?

Correct Answer is C

Explanation

A nurse is assisting a client who had a lower extremity amputation with a bath. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

A nurse is caring for a client who is at the end of life. The client’s partner is concerned about using opioid narcotics to manage the client’s pain Which of the following statements should the nurse make?

A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?

A nurse is assisting in performing triage on several clients following a mass casualty event. The nurse should assign a red tag to which of the following clients?

A nurse is assisting with revising a facility’s emergency response plan for tornado disasters in the community. The nurse should plan to collaborate with which of the following agencies?

A nurse is reinforcing teaching with a client about the physical effects of chemotherapy. Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?

While examining a client's temporomandibular joint, a nurse identifies pain, crepitus, and a popping sound. Because of these findings, to which of the following providers should the nurse request a referral for the client?