The healthcare provider informs an 18-year-old male client that he has Hodgkin's disease. When the practical nurse (PN) enters the room, the client shouts, "Get out of here! I don't want to see anyone! I just want to die!" Which initial response should the PN make?
Can I call your parents for you? I know that you are feeling bad right now.
Would you like me to call your friends to be with you while you're dealing with this news?
Would you like me to call your chaplain?
Tell me about what the healthcare provider said.
The Correct Answer is D
The PN should acknowledge the client's emotional state and allow him to express his feelings while also obtaining more information about the situation. By asking the client to share what he was told by the healthcare provider, the PN can gain a better understanding of the client's knowledge of the disease and provide appropriate education and support. Options A, B, and C are incorrect because they do not address the client's emotional state or provide helpful information to the PN in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The practical nurse (PN) should recognize that a newborn whose mother has poorly controlled type 1 diabetes mellitus and is exhibiting grunting with mild sternal retractions is exhibiting signs of patent ductus arteriosus. Patent ductus arteriosus is a condition in which the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta, fails to close after birth. This can result in abnormal blood flow between the aorta and pulmonary artery, leading to respiratory distress.
Hypothyroidism (Option A) and hyperinsulinemia (Option C) are conditions that can occur in newborns, but they do not typically present with grunting and sternal retractions.
Ventral septal defect (Option D) is a congenital heart defect that can cause respiratory distress, but it is not specifically associated with maternal diabetes.
Correct Answer is A
Explanation
The screening test that should be scheduled for a client who is gravida 4 para 3 at 16-weeks gestation is **Maternal serum alpha-feto protein (MSAFP)**. Second trimester prenatal screening may include several blood tests, called multiple markers. These markers provide information about a woman's risk of having a baby with certain genetic conditions or birth defects. Screening is usually done by taking a sample of the mother's blood between the 15th and 20th weeks of pregnancy (16th to 18th is ideal)².
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