The nurse is providing discharge teaching to a client who underwent a pneumonectomy. The client wants to resume social activities with family. How should the nurse respond?
Encourage family gatherings to reduce feelings of isolation.
Explain the need to avoid persons with respiratory infections.
Reinforce the need to avoid social contact for several weeks.
Recommend the use of a face mask during family events.
The Correct Answer is A
Following a pneumonectomy, it is important for the client to gradually resume normal activities and engage in social interactions. Encouraging family gatherings can provide emotional support, facilitate social connections, and help reduce feelings of isolation that the client may be experiencing.
While it is generally important for clients who have undergone a pneumonectomy to take precautions to reduce the risk of respiratory infections, such as avoiding crowded places and individuals with respiratory infections, completely avoiding social contact for several weeks is not necessary or realistic in most cases. It is essential to find a balance between protecting the client's health and promoting their emotional well-being and social integration.
Wearing a face mask during family events may not be necessary unless there is a specific concern about respiratory infections. The nurse can educate the client about the importance of good hand hygiene and avoiding close contact with individuals who are actively ill with respiratory infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E","F"]
Explanation
Correct- This statement indicates a misunderstanding about the relationship between acute stress disorder (ASD) and post-traumatic stress disorder (PTSD). While both are related to traumatic events, ASD is considered an initial reaction that typically resolves within three days to four weeks, whereas PTSD involves symptoms persisting for more than a month. The nurse should provide education on the different timelines and criteria for these disorders.
Incorrect- This statement reflects a proactive approach to managing symptoms and stress through holistic methods like meditation. There's no need for follow-up teaching here.
Incorrect- This statement shows the client's recognition of the potential benefits of therapy in managing their thoughts and emotions. It indicates their willingness to engage in effective coping strategies.
Incorrect- This statement reflects an understanding that their response to the traumatic event is not uncommon and that others may have similar reactions. It's a valid perspective on shared experiences during challenging times.
Correct- The statement "This diagnosis means that I am crazy" reflects a common misconception about mental health diagnoses. The term "crazy" is stigmatizing and does not accurately represent the nature of mental health conditions. The nurse should offer reassurance that a diagnosis of ASD does not define a person's overall mental state and emphasize the importance of seeking help without judgment.
Correct- The statement "I will probably need to be on medication for the rest of my life" implies a sense of hopelessness or a narrow perspective about treatment options. While medication might be part of the treatment plan for some individuals, it's important to emphasize that treatment is personalized and can include a combination of therapies, coping strategies, and lifestyle adjustments. The nurse should encourage an open discussion about treatment goals and possibilities.
Correct Answer is ["A","B","C"]
Explanation
Her fasting 1-hour glucose screening level, which was done 1 week prior, is 164 mg/dl. (9.1 mmol/L) Her 3-hour oral glucose tolerance test results reveal a fasting blood sugar of 168 (9.3 mmol/L) and a two-hour postprandial of 220 mg/dL (12.2 mmol/L).
The client has gestational diabetes mellitus (GDM), which is a condition that affects some pregnant women and causes high blood sugar levels. This is bad during pregnancy because it can increase the risk of complications for both the mother and the baby, such as preeclampsia, macrosomia, birth trauma, neonatal hypoglycemia, and congenital anomalies. The client needs to follow a diet and exercise plan to control her blood sugar levels and prevent further complications. She may also need to take insulin injections or oral medications if diet and exercise are not enough. The client should monitor her blood sugar levels regularly and report any abnormal results to her health care provider. The client should also have regular prenatal visits and ultrasounds to check the growth and development of the baby.
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