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A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?

"Not receiving blood will slow down your recovery."

"I understand that you decided not to receive blood products."

"You need to talk with your doctor about this."

"Why are you refusing to receive blood products?"

Answer and Explanation

The Correct Answer is B

Rationale:

A. This response is judgmental and may cause the client to feel guilty or defensive.

B. This response shows empathy and respect for the client's decision.

C. This response may be appropriate if the client needs further information or counseling but should not be the initial response.

D. This response is confrontational and may cause the client to become defensive.

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Correct Answer is B

Explanation

Rationale:

A. Moving the stronger leg forward before moving the weaker leg is incorrect and may increase the risk of falls.

B. Holding the cane on the stronger side provides support and stability while walking.

C. Moving the cane forward 18 inches is incorrect and may increase the risk of falls.

D. Wearing shoes with smooth soles may decrease traction and increase the risk of falls.

A. Neurological- Alert and oriented to person, place, and time; deep tendon reflexes 4+ B. Musculoskeletal - Generalized weakness with equal bilateral muscle strength and mild leg cramping C. Respiratory- Lungs clear D. Cardiovascular- Heart rate irregular: Heart rate 95/min E. Gastrointestinal- Bowel sounds hyperactive x 4 quadrants

Correct Answer is ["D","E"]

Explanation

Rationale:

A. These neurological findings are within normal limits and do not require immediate follow-up.

B. These musculoskeletal findings are not indicative of an emergency and can be addressed during routine care.

C. Clear lung sounds are a normal finding and do not require immediate follow-up.

D. An irregular heart rate may indicate an arrhythmia or other cardiovascular issue that requires further assessment and intervention.

E. Hyperactive bowel sounds can indicate a variety of gastrointestinal issues, including bowel obstruction or ileus, which may require immediate intervention or further investigation.

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A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

Correct Answer is ["D","E"]

Explanation

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