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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. Drinking an average of 2,000 milliliters of water daily is a healthy habit that promotes bowel elimination.

B. Taking a prescribed opioid pain medication at bedtime can cause constipation and impaired bowel elimination.

C. Eating apples and black-eyed peas is a healthy dietary choice that promotes bowel elimination.

D. Drinking two hot cups of coffee each morning can promote bowel elimination for some individuals.

A. Small, raised vesicles over the body B. Rhinitis C. Itching of the skin D. Severe wheezing

Correct Answer is D

Explanation

Rationale:

A. Small, raised vesicles over the body may indicate an allergic reaction but are not typically associated with IV antibiotics.

B. Rhinitis may indicate an allergic reaction but is not typically associated with IV antibiotics.

C. Itching of the skin may indicate an allergic reaction but is not typically associated with IV antibiotics.

D. Severe wheezing may indicate an allergic reaction or anaphylaxis and should be reported immediately.

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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 collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

Correct Answer is B

Explanation

A nurse is assisting in the care of a client who is receiving newly prescribed IV antibiotics. Which of the following findings should the nurse report immediately?

Correct Answer is D

Explanation

A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?

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A nurse is assisting in the care of a client who has a urinary tract infection. Exhibits The nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.

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A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

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