Nokea
A client with alcohol dependence states, 'I feel so bad because of what I've done to my wife and kids. I'm just no good.' Which of the following responses by the nurse is most appropriate?
- A. You'll need to make up for a lot of things
- B. They will need to forgive your shortcomings
- C. Alcohol dependence is a disease that can be treated
- D. Alcoholism is painful for everyone involved
Correct Answer: C
Rationale: Framing alcohol dependence as a treatable disease offers hope and reduces self-blame, supporting recovery. Other responses may reinforce guilt or are less therapeutic.
You may also like to solve these questions
A newborn infant is diagnosed with imperforate anus. Which description of this disorder should the nurse provide to the parents?
- A. The presence of fecal incontinence
- B. Incomplete development of the anus
- C. The infrequent and difficult passage of dry stools
- D. Invagination of a section of the intestine into the distal bowel
Correct Answer: B
Rationale: Imperforate anus (anal atresia, anal agenesis) is the incomplete development or absence of the anus in its normal position in the perineum. Option 1 describes encopresis. Encopresis generally affects preschool and school-age children. Option 3 describes constipation. Constipation can affect any child at any time, although it peaks at age 2 to 3 years. Option 4 describes intussusception.
The physician has prescribed nitroglycerin to a client with angina. The client also has closed-angle glaucoma. The nurse contacts the physician to discuss the potential for:
- A. Decreased intraocular pressure
- B. Increased intraocular pressure
- C. Hypotension
- D. Hypertension
Correct Answer: B
Rationale: Nitroglycerin can increase intraocular pressure, which is a concern in closed-angle glaucoma, potentially worsening the condition. Hypotension is a common side effect but not specific to glaucoma.
The nurse is caring for a client who has just undergone a total knee replacement. Which of the following interventions is most important in the immediate postoperative period?
- A. Encourage weight-bearing on the affected leg.
- B. Apply ice packs to the surgical site.
- C. Keep the leg in a dependent position.
- D. Limit range-of-motion exercises.
Correct Answer: B
Rationale: Applying ice packs reduces swelling and pain post-knee replacement, promoting recovery.
The charge nurse on an antepartal unit is preparing to complete assignments for the day. There is an RN, licensed practical nurse (LPN), and an unlicensed personnel (UAP) to care for 25 clients. The nurse should assign which of the following clients to the:
- A. A newly admitted G5 P2 Ab 2 with second trimester bleeding, reportedly currently saturating 1-2 pads in 12 hours.
- B. A 22-year-old G2 P1 with urinary retention who is being catheterized with an intermittent in and out every 4 to 6 hours p.r.n. while awaiting urine cultures to be returned.
- C. A G4 P2 with a twin pregnancy who was admitted in preterm labor and is now able to ambulate 2 to 3 times daily and having no contractions.
- D. A 30-year-old G4 P0 who was admitted in sickle unless currently receiving blood and pain medication.
Correct Answer: C
Rationale: The client with a stable twin pregnancy who is ambulating and has no contractions can be assigned to the LPN or UAP, as this client requires less complex care compared to others with active medical issues.
Select the step of blood glucose level monitoring that is NOT accurate.
- A. Turn the finger down so the blood will drop with gravity.
- B. Wipe off the first drop of blood using sterile gauze.
- C. Prick the side of the finger using the lancet.
- D. Prick the pad of the finger using the lancet.
Correct Answer: D
Rationale: Pricking the pad of the finger is less accurate and more painful; the side of the finger is the preferred site for blood glucose monitoring.