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Exhibits

The nurse uses the Modified Caregiver Strain Index (MCIS) and determines that the daughter is under significant stress caused by the assumption of her mother's care. The nurse is planning to have a discussion with the daughter on decreasing the stress she is experiencing as a caregiver. Select the 3 statements that the nurse should include when discussing caregiver stress with the client's daughter.

Involve your mother in the decision making process.

Moving your mother into a care facility will show her that you do not love her

It is okay not to love or like your mother when you are caring for her.

You made a promise to your mother that you need to keep.

Take time for yourself and the other relationships that you care about.

Saying "no" to things involving the care of your mother is a selfish action.

Helping your mother should be easier than raising a child.

Answer and Explanation

Correct Answer : A,C,E

A. Involve your mother in the decision-making process promotes autonomy and shared responsibility, helping the caregiver feel less burdened and improving the client’s satisfaction and participation in care.

B. Moving your mother into a care facility will show her that you do not love her increases caregiver guilt and stress rather than helping them cope.

C. Normalizing mixed emotions acknowledges that caregivers may feel frustration or emotional fatigue without judgment, helping reduce guilt and emotional distress.

D. You made a promise to your mother that you need to keep reinforces obligation and may increase feelings of guilt and pressure.

E. Take time for yourself and the other relationships that you care about is essential for preventing burnout, maintaining personal time and social connections, and supporting the caregiver’s ability to provide care effectively.

F. Labeling refusal as selfish increases guilt and pressure, which worsens caregiver strain and is not supportive communication.

G. Helping your mother should be easier than raising a child can increase stress and feelings of inadequacy by creating unrealistic expectations about caregiving.

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Correct Answer is C

Explanation

A. Listen attentively to the client's description of the event. While important for providing emotional support, it is secondary to preserving forensic evidence.
B. Report the incident to the university's security department. This is necessary but not as immediately critical as preserving evidence.
C. Do not allow client to shower until all evidence is obtained. Preserving evidence is the highest priority in this situation to ensure a thorough forensic investigation and legal process.
D. Determine the client's personal reaction to the reported rape. Understanding the client's emotional state is important for providing support, but it should be done after ensuring that critical forensic evidence is collected.

A. Erythrocytes, hemoglobin, and hematocrit. B. Serum potassium, calcium, and phosphorus. C. Blood pressure, heart rate, and temperature. D. Leukocytes, neutrophils, and thyroxine.

Correct Answer is B

Explanation

A. While monitoring erythrocytes, hemoglobin, and hematocrit is important in clients with ESRD due to the risk of anemia associated with kidney dysfunction, it is not the primary focus of monitoring for ESRD.

B. Clients with ESRD often experience electrolyte imbalances, including hyperkalemia (high potassium), hypocalcemia (low calcium), and hyperphosphatemia (high phosphorus). Monitoring these electrolyte levels is crucial to prevent complications such as cardiac arrhythmias, bone
disease, and soft tissue calcifications.

C. While blood pressure, heart rate, and temperature are essential vital signs to monitor in all clients, they are not specific laboratory tests for monitoring ESRD. However, blood pressure monitoring is particularly important in ESRD due to the increased risk of hypertension and its associated complications.

D. Monitoring leukocytes, neutrophils, and thyroxine levels is not typically a primary concern in clients with ESRD. Leukocyte and neutrophil levels may be monitored to assess for signs of infection, but they are not specific to ESRD. Thyroxine levels are typically monitored in clients with thyroid disorders, not ESRD.

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Naxlex Comprehensive Predictor Exams

The nurse who is working in the emergency department is obtaining evidence for a rape kit from a woman who reports that she was raped while returning to her dormitory from the university library. Which intervention is most important for the nurse to implement?

Correct Answer is C

Explanation

Which laboratory test results should the nurse monitor in a client who has end-stage renal disease (ESRD)?

Correct Answer is B

Explanation

Exhibits To start the client on oxygen as ordered, what item(s) should the nurse collect from the supply room? Select all that apply.

Which assessment finding is most important when planning to provide a complete bed bath to a bedfast client?

The nurse is preparing to administer a histamine 2-receptor antagonist to a client with peptic ulcer disease. What is the primary purpose of this drug classification?

Which intervention should the nurse implement during the administration of a vesicant chemotherapeutic agent via an intravenous (IV) site in the client's arm?

The parents of a 6-year-old child recently diagnosed with Duchenne muscular dystrophy tell the nurse that their child wants to continue attending swimming classes. How should the nurse respond?

Exhibits here Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.