Patient Data

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 2 statements that the nurse should include when discussing caregiver stress with the client's daughter.

Involve your mother in the decision-making process.

Helping your mother should be easier than raising a child.

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

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

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

Answer and Explanation

Correct Answer : A,E

A. Involve your mother in the decision-making process: Involving the client in decision-making can help maintain their sense of autonomy and dignity, and it can also alleviate some of the caregiver’s stress by sharing responsibilities and ensuring the client's preferences are considered.

B. Helping your mother should be easier than raising a child: Caregiving for an elderly parent can be just as challenging, if not more so, than raising a child. Comparing caregiving responsibilities to raising children may invalidate the caregiver’s feelings and experiences.

C. You made a promise to your mother that you need to keep: While promises can be important, emphasizing this can add additional pressure on the caregiver. Instead, focusing on practical support strategies and self-care might be more helpful.

D. Saying "no" to things involving the care of your mother is a selfish action: Caregivers need to set boundaries and prioritize their own well-being. Saying "no" when needed is essential to prevent burnout and maintain effective caregiving.

E. It is okay not to love or like your mother when you are caring for her: Acknowledging that it's normal to have complex emotions while caregiving can help the daughter understand that her feelings are valid and that seeking support or expressing her feelings is a healthy part of caregiving.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Checking the femoral site for hematoma formation is crucial as the client’s pain at the groin insertion site could indicate bleeding or hematoma formation, which requires immediate attention.

B. Evaluating the IV insertion site is important but does not directly address the pain at the groin site.

C. Stimulating the client to take deep breaths helps with respiratory function but does not address the potential complications at the groin site.

D. Assessing distal lower extremity capillary refill is useful for overall circulation but is not the immediate concern in this situation.

A. Confirm that this is a common symptom of osteoporosis. B. Determine how the client is administering the medication. C. Advise the client to gargle with warm salt water twice daily. D. Report the client's jaw pain to the healthcare provider.

Correct Answer is D

Explanation

A. Jaw pain is not a common symptom of osteoporosis.

B. While it is important to ensure proper administration of the medication, jaw pain is a serious side effect that requires immediate attention.

C. Gargling with warm salt water may alleviate minor oral discomfort but is not appropriate for managing jaw pain related to bisphosphonate use.

D. Jaw pain is a potential sign of osteonecrosis of the jaw, a serious side effect of bisphosphonates, and should be reported to the healthcare provider immediately.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A female client is taking alendronate, a bisphosphonate, for postmenopausal osteoporosis. The client tells the nurse that she is experiencing jaw pain. How should the nurse respond?

Correct Answer is D

Explanation

The nurse is admitting a client from the postanesthesia unit to the postoperative surgical care unit. Which prescription should the nurse implement first?

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Patient Data Exhibits After the obstetrician leaves, the client appears confused and asks the nurse, "How will I know if I have high blood sugar?" Which are the nurse's best responses? Select all that apply.

The nurse is providing education to a client who receives a prescription for zolpidem. Which information about the medication should the nurse include?

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAP)?

An client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day intravenously in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)