Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Introduction to the Urinary System Related

Review Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Introduction to the Urinary System related questions and content

The nurse is caring for an 84-year-old client who is being admitted for diagnostic studies for a potential renal disorder. The nurse planning care has initiated a care plan of 'knowledge deficiency related to poor understanding of diagnostic studies as manifested by client statements of not understanding diagnostic procedures and elevated anxiety.' Which nursing intervention(s) does the nurse include in the plan of care?

  • A. Assess client's level of understanding.
  • B. Provide written reading material.
  • C. Remain with client and answer questions.
  • D. Administer an ordered sedative.
  • E. Use simple language.
  • F. Direct instruction to family.
Correct Answer: A,C,D,E

Rationale: The nurse is caring for a client who is unsure of the diagnostic study and is anxious. The nursing interventions to assist the client begin with understanding knowledge base following an assessment of understanding. Next, remaining with client and answering questions in simple terms alleviates anxiety and opens teaching and communication. If all consents are signed, an ordered sedative may diminish client anxiety. Providing written material at this time is not helpful and may increase anxiety. All instruction should be primarily directed toward the client but include all family members.