A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse?
A) "What concerns you most about having surgery?"
B) "Your surgeon has performed this surgery many times."
C) "How does your family feel about this decision?"
D) "This surgery can cure you of cancer."
A
Feedback:
Being sympathetic and encouraging the client to express his concerns is a therapeutic response. This client may have concerns about the complications associated with the surgery and/or need additional information on newest techniques that improve outcomes. Explaining that the surgeon is competent does not address the concerns of this client. Family feelings are secondary to the concerns or the client. A cure of cancer is never a guarantee with any surgery.
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A nurse has been called to the scene where an individual is unconscious after experiencing an airway obstruction. The nurse has consequently initiated chest compressions. This intervention will help the client in what way?
A) Increasing intrathoracic pressure in order to clear the obstruction B) Increasing cardiac output in order to help the client spontaneously clear the obstruction C) Creating temporary pressure on client's vascular system to facilitate airway clearance D) Stimulating the client's vagus nerve to relax the upper airway
The nurse recognizes which of the following observations as a positive Babinski sign?
1. Dorsiflexion of the great toe, with fanning of the other toes 2. Curling of all the toes in response to stroking stimulation 3. Feeling a buzzing sensation in the foot when touched with a tuning fork 4. Inability to identify two simultaneous points of pain on the foot
The nurse has calculated the client's toe brachial pressure index (TBPI) as 0.58. This client is at risk for the development of ___________
What will be an ideal response?
It is acceptable to wear an N95 respirator into a room in which airborne precautions are in use.
Answer the following statement true (T) or false (F)