A 68-year-old woman with acute myelogenous leukemia (AML) asks the nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is appropriate?

a. "If you do not want to have chemotherapy, other treatment options include stem cell transplantation."
b. "The side effects of chemotherapy are difficult, but AML frequently goes into remission with chemotherapy."
c. "The decision about treatment is one that you and the doctor need to make rather than asking what I would do."
d. "You don't need to make a decision about treatment right now because leukemias in adults tend to progress quite slowly."


ANS: B
This response uses therapeutic communication by addressing the patient's question and giving accurate information. The other responses either give inaccurate information or fail to address the patient's question, which will discourage the patient from asking the nurse for information.

Nursing

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An 87-year-old woman undergoes extensive surgery for an acoustic neuroma (a benign tumor of the inner ear), and 6 hours after surgery, she hemorrhages and goes into a coma

After awaking and 2 months of therapy, she is transferred to a long-term care facility. Due to damage in the midbrain, the nurse caring for the patient will expect the patient to exhibit what? A) Difficulty in sleeping B) Difficulty in hearing C) Difficulty in distinguishing hot and cold D) Difficulty in speaking

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The nurse witnessed a more senior nurse make six unsuccessful attempts at starting an intravenous (IV) line on a client. The senior nurse persisted, stating, "I refuse to admit defeat." This resulted in unnecessary pain for the client

How should the first nurse best respond to this colleague's incompetent practice? A) Report the nurse's practice and have the nurse manager address the matter. B) Encourage the nurse to attend an in-service on IV starts. C) Reassure the nurse that this is a difficult skill and give her feedback on her performance. D) Document an unmet outcome in the client's plan of care.

Nursing

A client is admitted to the psychiatric unit with a diagnosis of conversion disorder. Since witnessing the beating of his wife at gunpoint, he has been unable to move his arms, complaining that they are paralyzed. When planning the client's care, the nurse should focus on:

A. helping the client identify and verbalize feelings about the incident. B. convincing the client that his arms aren't paralyzed. C. developing rehabilitation strategies to help the client learn to live with the disability. D. talking about topics other than the beating to avoid causing anxiety.

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In noninvasive ventilation, ________________ keeps the terminal airways (alveoli) partially inflated, reducing the risk for atelectasis

Fill in the blank(s) with correct word

Nursing