Following a uterine biopsy, a client asks a nurse, “Do you think I have cancer?” Which response by the nurse would most likely prompt the client to elaborate on their concerns?
“I don’t know.Biopsies are often negative.”.
“I can’t say. Did your health care provider tell you?”.
“No one knows yet. I’d like to hear what you are thinking.”.
“Everyone thinks about that. Don’t worry until the final report is back.”.
The Correct Answer is C
I’d like to hear what you are thinking.” This response by the nurse would most likely prompt the client to elaborate on their concerns because it acknowledges the uncertainty of the situation and invites the client to share their feelings and thoughts.
It also shows empathy and respect for the client’s perspective.
Choice A is wrong because it may give false reassurance or minimize the client’s anxiety. Biopsies are not always negative and the nurse cannot predict the outcome.
Choice B is wrong because it may imply that the nurse is avoiding the question or shifting the responsibility to the health care provider.
It also does not address the client’s emotional state or encourage communication.
Choice D is wrong because it may dismiss the client’s fears or imply that they are irrational. It also does not explore the client’s understanding of the procedure or the possible results.
A uterine biopsy is a procedure that involves removing a small piece of tissue from the lining of the uterus (endometrium) for examination under a microscope. It is usually done to diagnose abnormal bleeding, infections, or cancer. The normal range of endometrial thickness varies depending on the menstrual cycle, age, and hormonal status of the woman.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Self-determination. Self-determination is the ethical principle that respects the right of a person to make their own decisions. When a nurse respects the decision of a client who refuses a blood transfusion, the nurse is upholding this principle by acknowledging and protecting the client’s autonomy.
Choice A is wrong because beneficence is the ethical principle that involves actively seeking benefits or the promotion of good.
While a blood transfusion may be beneficial for the client, it is not the nurse’s role to impose their own judgment on the client’s choice.
Choice C is wrong because justice is the ethical principle that involves fairness and the just distribution of resources.
A blood transfusion is not a scarce resource that needs to be allocated among competing demands.
Choice D is wrong because fidelity is the ethical principle that involves keeping promises and being faithful to one’s commitments.
A blood transfusion is not a promise or a commitment that the nurse has made to the client.
Correct Answer is D
Explanation
This is because a client who has been diaphoretic for the past six hours is likely to have wet and uncomfortable bed linens that can cause skin breakdown and infection. Changing the bed linens frequently can help keep the client dry and comfortable.
Choice A is wrong because offering the client a bedpan every three hours is not related to diaphoresis and may not meet the client’s elimination needs.
Choice B is wrong because keeping an emesis basin near the bedside is not related to diaphoresis and may not be necessary unless the client has nausea or vomiting.
Choice C is wrong because providing oral care every four hours is not enough to prevent dehydration and dry mouth in a client who has been diaphoretic for the past six hours. The client may need more frequent oral care and fluid intake.
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