A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be most appropriate?

"This is nothing to worry about. It won't hurt you."

"Let me tell you what I'll be doing. It should not be painful."

"Some of the examination may be painful, but will be gentle."

"I have to do this, so just relax and it won't last long."

Answer and Explanation

The Correct Answer is B

The most appropriate statement by the nurse would be to explain the procedure to the client and reassure them that it should not be painful. This can help alleviate the client's anxiety and make them feel more comfortable and informed about the assessment.

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Correct Answer is A

Explanation

In this situation, the nurse is performing the role of an educator. The nurse is explaining the procedures for preventing infection in a central venous access device to the spouse and demonstrating how to hook the client to the medication infusion.

A. "Oh, for gosh sakes. it doesn't look that bad." B. "I understand, but you are going to have to look someday." C. "Respect your wish not to look at it right now." D. "You won't be able to go home until you look at it."

Correct Answer is C

Explanation

The appropriate response by the nurse in this situation would be to respect the young man's wish not to look at the wound during dressing changes. This response shows empathy and understanding toward the patient's feelings and emotions and allows him to have control over his own care. It is important for healthcare providers to respect their patient's autonomy and decisions regarding their own care.

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A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a home visit, the nurse explains the procedures for preventing infection in a central venous access device to the spouse who watches while the nurse hooks the client to the medication infusion. Which role is the nurse performing at this time?

Correct Answer is A

Explanation

A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?

Correct Answer is C

Explanation

The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

While performing a bed bath, the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?

A nurse is assessing a client who has a fever, an infection of a ﬂank incision, and is in severe pain. Which type of pulse rate would the client most likely exhibit?

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