A nurse is collecting data from a client who reports an inability to cope because of their recent job loss. Which of the following actions should the nurse take?
Tell the client to think about something else.
Ask the client to describe their support system.
Ask the client why they're unable to cope.
Tell the client that everything will be okay.
The Correct Answer is B
A) Tell the client to think about something else. - This response dismisses the client's feelings and does not address the underlying issue of coping with job loss.
B) Ask the client to describe their support system. - This action allows the nurse to assess the resources available to the client for coping with stress and provides an opportunity to explore potential sources of support.
C) Ask the client why they're unable to cope. - While understanding the reasons behind the client's inability to cope is important, this question may come across as judgmental or dismissive of the client's feelings.
D) Tell the client that everything will be okay. - While offering reassurance is important, it should be done in the context of acknowledging the client's feelings and exploring coping strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Aspirated stomach contents' pH measures 6.5 (less than 5): A gastric pH greater than 5 suggests alkaline stomach contents, which may indicate bile reflux, but it is not necessarily an urgent concern.
B. Residual volume of stomach contents measures 90 mL: A residual volume greater than 50-100 mL may indicate delayed gastric emptying, which can affect medication absorption and increase the risk of aspiration. This finding should be reported to the provider for further evaluation.
C. Hyperactive bowel sounds are present: Hyperactive bowel sounds may indicate increased gastrointestinal motility but are not directly related to the administration of medications via a gastrostomy tube.
D. Stomach contents are yellowish-green in color: The color of stomach contents may vary based on diet and gastric secretions and does not necessarily indicate a need for immediate intervention.
Correct Answer is A
Explanation
A) Cotton-tipped applicator - A cotton-tipped applicator can be used for wound cleaning and dressing application for a stage 4 pressure injury. It allows for gentle cleaning of the wound and application of topical treatments while minimizing trauma to the wound area.
B) Tongue depressor – A tongue depressor is typically used for oral examinations or to apply topical treatments to the mouth. It's not a standard supply for managing a stage 4 pressure injury, which requires specific wound care supplies designed for wound cleaning and dressing application.
C) Adhesive tape - Adhesive tape is commonly used for securing dressings or medical devices, but it may not be the primary supply needed for managing a stage 4 pressure injury. Wound care for a stage 4 pressure injury often involves specialized dressings, cleansing solutions, and applicators rather than adhesive tape alone.
D) Syringe - While syringes are versatile tools used in various medical procedures, in the context of managing a stage 4 pressure injury, their primary use might be for administering medications or irrigation solutions rather than being the essential supply for wound care in this specific instance.
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