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A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?
- A. Confusion
- B. Fatigue
- C. Pain
- D. Slurred speech
Correct Answer: B
Rationale: The correct answer is B: Fatigue. In iron deficiency anemia, the body lacks enough iron to produce hemoglobin, leading to decreased oxygen delivery to tissues, resulting in fatigue. Confusion (A) is not a typical finding. Pain (C) is not a direct symptom of iron deficiency anemia. Slurred speech (D) is more commonly associated with neurological conditions. In summary, fatigue is a hallmark symptom of iron deficiency anemia due to decreased oxygen delivery, making it the expected finding.
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While in group therapy,a nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?
- A. Your provider is very knowledgeable. If he prescribes chemotherapy, it's the best treatment for you.
- B. Using nontraditional treatments is not a good idea. I'd rather you avoid that route.
- C. Tell me more about your concerns about taking chemotherapy.
- D. A lot of people think nontraditional treatments will work, and they find out too late that they made the wrong choice.
Correct Answer: C
Rationale: Rationale: Option C is the correct response as it demonstrates active listening and empathy towards the client's concerns. By asking the client to elaborate on her reservations about chemotherapy, the nurse can better understand her perspective and provide tailored support and information. This approach promotes client autonomy and collaboration in decision-making.
Incorrect Choices:
A: This response dismisses the client's preferences and fails to address her concerns.
B: This response is judgmental and does not encourage open communication.
D: This response uses fear tactics and may cause distress to the client.
The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client? (Select All that Apply.)
- A. The child will demonstrate effective problem-solving skills.
- B. The child will acknowledge they have a genetic disorder.
- C. The child will verbalize age-appropriate feelings of self-worth.
- D. The family will be able to express their concerns.
- E. The child will sign a behavior contract.
- F. The child will learn to isolate when feeling angry.
Correct Answer: A,E,F
Rationale: Correct Answer: A, E, F
Rationale:
A: The child demonstrating effective problem-solving skills is crucial for managing IED episodes.
E: Signing a behavior contract helps set clear expectations and consequences for behavior, aiding in self-regulation.
F: Learning to isolate when feeling angry can prevent harm and give time to calm down, a key skill for managing IED.
Incorrect Choices:
B: Acknowledging a genetic disorder is not relevant to managing IED.
C: While important, verbalizing feelings of self-worth may not directly address the impulsivity of IED.
D: Expressing concerns is valuable but not a direct goal for managing IED.
Claudette, the nurse, is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication
- A. I feel angry when you leave me.
- B. I wish you would not make me angry.
- C. It makes me angry when you interrupt me.
- D. You'd better listen to me.
Correct Answer: D
Rationale: The correct answer is D because it is an example of aggressive communication. The statement "You'd better listen to me" is forceful, directive, and implies a threat if the listener does not comply. This type of communication lacks respect for the other person's feelings and boundaries. In contrast, choices A, B, and C express personal feelings and thoughts without being demanding or confrontational. Choice A uses "I feel" to express emotions, choice B expresses a wish without placing blame, and choice C explains a reaction to a specific behavior without being forceful. Therefore, D stands out as the only example of aggressive communication in the given options.
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia?
- A. The client eats red meat daily.
- B. The client has had gastric bypass surgery.
- C. The client has had treatment for gastrointestinal cancer.
- D. The client eats mostly prepackaged,processed foods.
- E. The client has ulcerative colitis.
Correct Answer: B,C,D,E
Rationale: The correct answer includes choices B, C, D, and E. Gastric bypass surgery can lead to malabsorption of iron, increasing the risk of anemia. Treatment for gastrointestinal cancer can also affect iron absorption. Eating mostly prepackaged, processed foods may lack iron-rich foods, contributing to anemia risk. Ulcerative colitis can cause intestinal bleeding, leading to iron deficiency. Choice A is incorrect as red meat is a good source of iron.
A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?
- A. Coma
- B. Hypothermia
- C. Tachycardia
- D. Fruity smelling breath
Correct Answer: C
Rationale: The correct answer is C: Tachycardia. In a thyroid storm, there is an excessive release of thyroid hormones leading to severe symptoms. Tachycardia is a hallmark sign due to the increased metabolic rate and sympathetic response. Coma (A) is a severe complication but not an anticipated finding. Hypothermia (B) is incorrect as the body temperature is typically elevated. Fruity smelling breath (D) is more indicative of diabetic ketoacidosis, not thyroid storm.