Author Question: A nurse cares for a client who has chronic cirrhosis from substance abuse. The client states, All of ... (Read 146 times)

evelyn o bentley · **on:** Jun 25, 2018

A nurse cares for a client who has chronic cirrhosis from substance abuse. The client states, All of my family hates me. How should the nurse respond?

a. You should make peace with your family.
b. This is not unusual. My family hates me too.
c. I will help you identify a support system.
d. You must attend Alcoholics Anonymous.

Question 2

A nurse cares for a client who is scheduled for a paracentesis. Which intervention should the nurse delegate to an unlicensed assistive personnel (UAP)?

a. Have the client sign the informed consent form.
b. Assist the client to void before the procedure.
c. Help the client lie flat in bed on the right side.
d. Get the client into a chair after the procedure.

bblaney · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Clients who have chronic cirrhosis may have alienated relatives over the years because of substance abuse. The nurse should assist the client to identify a friend, neighbor, or person in his or her recovery group for support. The nurse should not minimize the client's concerns by brushing off the client's comment. Attending AA may be appropriate, but this response doesn't address the client's concern. Making peace with the client's family may not be possible. This statement is not client-centered.

Answer to Question 2

ANS: B
For safety, the client should void just before a paracentesis. The nurse or the provider should have the client sign the consent form. The proper position for a paracentesis is sitting upright in bed or, alternatively, sitting on the side of the bed and leaning over the bedside table. The client will be on bedrest after the procedure.