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?

"Oh, for gosh sakes. it doesn't look that bad."

"I understand, but you are going to have to look someday."

"Respect your wish not to look at it right now."

"You won't be able to go home until you look at it."

Answer and Explanation

The Correct Answer is C

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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Free Nursing Study Resources

Correct Answer is ["C","D"]

Explanation

If a visitor in the dining room at the hospital has a forceful cough, the nurse should first allow the visitor to continue coughing. Coughing is a natural reﬂex that helps clear the airway of foreign objects or mucus. The nurse should also assess the eﬀectiveness of the cough. If the cough is weak or ineﬀective, further intervention may be necessary.

Starting cardiopulmonary resuscitation (CPR) or performing the Heimlich maneuver would only be appropriate if the visitor is choking and unable to breathe. Assisting the client to a sitting position on the ﬂoor may not be necessary and could potentially cause harm.

A. Document that the potential problem is being prevented from recurring. B. Document that the problem has been resolved and the goal has been met. C. Assume that whatever the cause was, the symptoms may return, but the goal was met. D. Keep the problem on the care plan in case the symptoms return.

Correct Answer is B

Explanation

The nursing diagnosis was "Risk for Deficient Fluid Volume" related to excessive ﬂuid loss, secondary to diarrhea and vomiting. The goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days, indicating that the problem has been resolved. Therefore, the nurse should document that the problem has been resolved and the goal has been met.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While in the dining room at the hospital, the nurse notes a visitor has forceful coughs. Which actions would the nurse take to assist this visitor? Select all that apply:

Correct Answer is ["C","D"]

Explanation

Correct Answer is B

Explanation

The nurse manager has determined that a new staﬀ nurse is demonstrating characteristics of a critical thinker. Which of the following did the manager observe the nurse perform? Select all that apply.

The nurse instructs the client on mind-body therapies. Which mind-body therapy is used when the client pictures themselves lying on a beach with the sounds of waves, the cries of seagulls, and the warmth of the sun during periods of stress?

The nurse is caring for a client who has difficulty hearing conversation. What intervention should the nurse implement?

A client needs a test to determine the amount of residual urine. The nurse realizes that this assessment is used for which reason(s)? Select all that apply.

Which of the following nursing pioneers established the Red Cross in the United States in 1882?

Which is an example of a closed-ended question or statement?

The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping eﬀectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:

A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?