A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?
"Don't worry, most clients dislike the prep more than the procedure itself."
"After you have signed the consent form, we can talk more about this."
"I know you're anxious, but this procedure is recommended for people your age."
"Before the examination, your provider will give you a sedative that will make you sleepy."
The Correct Answer is D
- A: This response minimizes the client's feelings and may make them feel unheard. It's important for healthcare providers to acknowledge a patient's feelings and provide reassurance in a more empathetic manner.
- B: This response delays addressing the client's concerns and may increase his anxiety. Consent is important, but it should not be a barrier to discussing care and addressing concerns.
- C: This response is factual but does not address the client's immediate concern about pain. It's crucial to address the client's fears directly rather than deflecting to the procedure's necessity.
- D: This response directly addresses the client's concern about pain by informing him of the sedative, which is a common practice to reduce discomfort during a colonoscopy. It provides reassurance and factual information about the procedure's process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
A shiny, moist stoma is generally a healthy sign, indicating good blood supply and adequate hydration of the stoma tissue. It is not a cause for concern.
Choice B reason:
A rosebud-like stoma orifice is a normal appearance for some types of stomas. It indicates a healthy stoma with good blood supply. This finding is expected and does not warrant concern.
Choice C reason:
A purplish-colored stoma may indicate compromised blood supply to the stoma, which is a serious concern and should be reported to the provider promptly. It may suggest inadequate blood flow to the stoma, which could lead to tissue necrosis.
Choice D reason:
Stoma oozing red drainage may be normal immediately postoperatively. It can be due to some oozing from the surgical site, and if it's minimal and stops after a short while, it's generally not a cause for concern.
Correct Answer is D
Explanation
Choice A reason:
A dinner roll is a generally well-tolerated food option and is unlikely to exacerbate gallbladder inflammation.
Choice B reason:
Tapioca pudding is a soft and easily digestible food, which is suitable for a patient with acute gallbladder inflammation.
Choice C reason:
Mashed potatoes are typically considered a bland and easily digestible food, suitable for a patient with gallbladder inflammation.
Choice D reason:
Fried chicken is high in fat, which can trigger gallbladder symptoms and exacerbate
inflammation. Therefore, it is not an appropriate choice for a patient with acute gallbladder inflammation. The nurse should question this item on the tray.
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