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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A) Place an identification tag on the outside of the client's shroud. - This is an important step in maintaining proper identification of the deceased individual.
B) Remove the client's dentures and give them to the client's family. - Dentures should be left in place unless requested by the family, as they are considered part of the deceased individual's personal belongings.
C) Wear sterile gloves when cleaning the client's body. - Sterile gloves are not necessary for postmortem care unless there are specific infection control concerns.
D) Ask the assistive personnel to document the client's time of death. - Documenting the time of death is typically the responsibility of the nurse or provider, not the assistive personnel.

A. Obtain urine from the drainage bag if a urinary specimen is required. B. Use a catheter securing device to hold the catheter in place. C. Change the catheter bag every 3 days and as needed. D. Position the drainage bag higher than the client's bladder.

Correct Answer is B

Explanation

A. Obtain urine from the drainage bag if a urinary specimen is required- Urine specimens should be collected from the catheter port using a sterile technique, not from the drainage bag.
B. Use a catheter securing device to hold the catheter in place- A catheter securing device helps prevent movement or accidental removal of the catheter, reducing the risk of trauma or dislodgment.
C. Change the catheter bag every 3 days and as needed- Catheter bags should be changed according to facility policy or if they become soiled, not necessarily every 3 days.
D. Position the drainage bag higher than the client's bladder- The drainage bag should be positioned lower than the client's bladder to facilitate urine drainage by gravity and prevent reflux into the bladder.

View Question and Answer

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

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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