A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

"You'll be fine. You'll receive a prescription for pain medication."

"Why didn't you discuss your concerns with your provider?"

"If you have the procedure now, you won't have to deal with pain and disability later."

"I understand, and it's not too late to change your mind,"

Answer and Explanation

The Correct Answer is D

A.   Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B.   Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C.   Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D.   Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.

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Correct Answer is A

Explanation

A. Contacting the case manager is crucial to explore various discharge options and ensure the client's needs are met appropriately.
B. Recommending long-term care should be considered after exploring other options and assessing the client's specific needs.
C. Requesting assistance from another family member is a potential option but should be explored in conjunction with other solutions.
D. Delaying discharge might not address the partner's inability to provide care and doesn't explore alternative solutions.

A. Wait to dispose of sharps containers until they are completely full. B. Use clean gloves rather than sterile gloves for colostomy care. C. Return unused supplies from the bedside to the unit's supply stock. D. Store opened bottles of normal saline in a refrigerator for up to 48 hours.

Correct Answer is B

Explanation

A. Waiting to dispose of sharps containers until they are completely full might compromise safety and infection control practices.
B. Using clean gloves rather than sterile gloves for colostomy care is a possible interventin that can be applied.
C. Returning unused supplies to the unit's supply stock is not correct.
D. Storing opened bottles of normal saline for up to 48 hours might not be compliant with storage guidelines and could risk contamination, potentially increasing costs through wastage or patient harm.

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A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

Nursing Test Bank

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