The nurse is prioritizing the day's interventions. Which client should be the first to be taught about the hazards of straining when having a bowel movement? The:

17-year-old who has just had an ankle cast applied.

60-year-old recovering from a heart attack.

80-year-old admitted for an infected tooth.

28-year-old new mother of twins.

Answer and Explanation

The Correct Answer is B

A. 17-year-old who has just had an ankle cast applied: While constipation may occur due to reduced mobility after having an ankle cast applied, teaching about the hazards of straining during bowel movements is not the priority for this client. The immediate concern may be related to cast care and mobility.

B. 60-year-old recovering from a heart attack: This client is recovering from a heart attack, and straining during bowel movements can increase intra-abdominal pressure and potentially lead to complications such as vagal stimulation, which may trigger arrhythmias or further stress the heart. Therefore, teaching about the hazards of straining during bowel movements is essential for this client to prevent complications and promote cardiac safety.

C. 80-year-old admitted for an infected tooth: While constipation may occur as a side effect of certain medications or due to decreased oral intake, teaching about straining during bowel movements is not the immediate priority for this client, given the primary reason for admission is an infected tooth. However, if constipation becomes a concern during the admission, it can be addressed accordingly.

D. 28-year-old new mother of twins: While postpartum mothers may experience constipation due to various factors such as changes in hormone levels, reduced mobility after delivery, and opioid use for pain management, teaching about the hazards of straining during bowel movements may not be the priority compared to other immediate postpartum care needs, such as breastfeeding support, perineal care, and newborn care.

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Correct Answer is C

Explanation

A. Is aware that some health problems affect clients from various social levels: While being aware of health disparities related to social factors is important for providing comprehensive care, it does not fully capture the professional value of social justice. Social justice involves more than just awareness; it entails taking action to address inequalities and ensure fair treatment and access to care for all individuals, regardless of their background.

B. Does safe, research-based interventions for clients: While providing safe, evidence-based interventions is a fundamental aspect of nursing practice, it does not directly relate to the professional value of social justice. Social justice focuses on addressing systemic barriers and inequalities in healthcare to ensure equitable treatment and access for all individuals, rather than solely on the delivery of interventions.

C. Ensures equal treatment & access to care regardless of clients' background: This option best describes the professional value of social justice. Nurses who uphold social justice advocate for fair and equal treatment of all individuals, regardless of factors such as socioeconomic status, race, ethnicity, gender, or sexual orientation. They work to identify and address systemic barriers that contribute to health disparities and advocate for policies and practices that promote equitable access to healthcare services.

D. Collects data about unique needs of individual clients prior to planning care: While collecting data about clients' unique needs is essential for providing individualized care, it does not directly relate to the professional value of social justice. Social justice focuses on broader systemic issues and ensuring fair treatment and access to care for all individuals, rather than solely on individualized care planning.

A. conveying respect for the client's belief. B. further assessing the client's knowledge of cancer. C. notifying the physician immediately. D. calling the chaplain for a consultation.

Correct Answer is A

Explanation

A. Conveying respect for the client's belief: This response acknowledges and respects the client's faith and belief system. It demonstrates empathy and supports the client's coping mechanisms during a challenging time. It fosters a therapeutic relationship by validating the client's feelings and beliefs, which can be essential for providing holistic care.

B. Further assessing the client's knowledge of cancer: While assessing the client's understanding of cancer is important, in this context, the client's statement reflects their coping mechanism and reliance on faith. Addressing the client's belief system and providing support in alignment with their spiritual beliefs should be the initial focus.

C. Notifying the physician immediately: There is no indication in the scenario that immediate medical intervention is necessary. The client's statement reflects their coping strategy and does not suggest an urgent medical concern.

D. Calling the chaplain for a consultation: While spiritual support is valuable, the client's statement does not indicate an immediate need for chaplaincy services. The nurse should first acknowledge and respect the client's belief before considering further spiritual support options, based on the client's preferences and needs.

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The nurse is prioritizing the day's interventions. Which client should be the first to be taught about the hazards of straining when having a bowel movement? The:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the best description for the professional value of social justice? The nurse…

Correct Answer is C

Explanation

When learning of a new cancer diagnosis, the client states, "If it is God's will, I will survive this." The nurse who is providing spiritually competent care would respond by:

Correct Answer is A

Explanation

A client who has a terminal illness asks the nurse, "Why is God punishing me?" Which would be the most appropriate action for the nurse to take?

The nurse is caring for a client who is one day post op after having abdominal surgery. While auscultating bowel sounds for a full one minute, the nurse hears 3 bowel sounds. The nurse would chart this as bowel sounds.

Which food item should the nurse instruct the patient to consume to prevent or treat constipation?

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The client is struggling with the decision to donate organs after death. The nurse assists the client to list alternatives, examine the "pros" and "cons" and elicits the client's feelings about the decision. The nurse is assisting this client with:

The nurse assesses a client with a history of deficient fluid volume. What are the most accurate findings for this fluid volume status? (SELECT ALL THAT APPLY)

The nurse is caring for a client who trips and falls over a trash can left in the path to the bathroom. Which is part of an appropriate charting entry?

The nurse is talking with a 14-year-old female client who has just had her first sexual experience with a boy. At this time, the nurse should assess the client's knowledge of: (SELECT ALL THAT APPLY)