Author Question: The nurse is conducting an interview with the client, and wishes to allow the client more control ... (Read 50 times)

@Brianna17 · **on:** Jul 22, 2018

The nurse is conducting an interview with the client, and wishes to allow the client more control over the interview. Which of the following questions would be appropriate for this purpose?

1. Do you know why you have been admitted to the hospital?
2. Do you have a good relationship with your children?
3. Would you tell me more about your relationship with your children?
4. Did you feel depressed after talking with your children?

Question 2

The nurse is caring for a client admitted with a diagnosis of appendicitis. The client has a history of kidney transplant, and takes immune-suppressing medications to prevent organ rejection.

Which of the following nursing diagnoses would be most appropriate for this client postoperatively? 1. Infection, risk for, related to nutritional deficit
2. Infection, risk for, related to overhydration
3. Infection, risk for, related to immunosuppression
4. Infection, risk for, related to postoperative wound

mirabriestensky · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale: When the nurse asks the client to describe something, the client is in control, and feels that the nurse is interested in hearing more about him. The other questions all require a yes or no answer, and do not allow the client to take the lead, nor do they promote the establishment of a good rapport.

Answer to Question 2

3
Rationale 1: This client is at risk due to immunosuppression and an inadequate immune response to pathogens. While the postoperative wound might be the pathogens' easiest entry point, infection could occur because of the client's IV site, airway, or any other entry point, so the immune suppression is the primary concern, creating a susceptible host. Nutritional and hydration status are unknown.