2022.
, Ati fundamental 1
A nurse is caring for a client who has a terminal illness. The client asks
several questions about the nurse's religious beliefs related to death and
dying. Which of the following actions should the nurse take?
A) Change the topic because the client is trying to divert attention from the
illness to the nurse.
B) Encourage the client to express his thoughts about death and dying?
C) Tell the client that religious beliefs are a personal matter.
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D) Offer to contact the client's minister or the facility's
chaplain. B
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A nurse should recognize the client's need to talk about impending death,
and encourage the client to discuss his thoughts on the subject. This is
therapeutic technique of reflecting. Depending on the situation, the nurse
can also share some thoughts on this topic. Self-disclosure is a
communication skill that can help open lines of communication when
appropriate. If the nurse does not want to share personal beliefs, the
communication skills of offering self and listening to the client's thoughts
are appropriate.
A nurse is preparing to provide tracheostomy care for a client. Which of the
following actions should the nurse take first?
A) Open all sterile supplies and solutions.
B) Stabilize the tracheostomy tube.
C) Don sterile gloves.
D) Perform hand
hygiene. D
According to evidence-based practice, the nurse should first perform hand
hygiene before touching the client or performing any skills, such as
tracheostomy care. This is vital because contamination of the nurse's hands
is a primary source of infection.
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A nurse is measuring vital signs for a client and notices an irregularity in the
pulse. Which of the following actions should the nurse take?
A) Measure the pulse using a Doppler ultrasound stethoscope.
B) Check the client's pedal pulses.
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