A female client reports to her primary care physician with ...

[mcmcdaniel]

A female client reports to her primary care physician with complaints of recent aggravated chest pain. The physician orders a cardiac stress test.
 
  The client tells the nurse that she does not want to take the test and feels she should instead continue with her current medication a little longer. Understanding that the client is anxious, what is the most appropriate response by the nurse? A) Emergency equipment is always kept ready.
  B) Tell me more about how you are feeling.
  C) Don't you want to improve your health?
  D) Most people tolerate the procedure quite well.

Question 2

The nurse has arranged to start an IV line for a client with pancreatitis. The nurse notes that the client appears anxious about the procedure. Which of the following is the most appropriate response by the nurse to decrease the client's anxiety?
 
  A) I will start an IV, which should not take much time.
  B) I will start an IV with an 18 gauge needle.
  C) I will start an IV that will add fluids directly to the blood stream.
  D) I will start an IV, which should not cause you any pain.

[jliusyl]

Answer to Question 1

B
Feedback:
The client may have been anxious due to fear and anxiety related to the stress test. The nurse should try to explore the client's feelings by letting her express her concerns. Asking the client open-ended questions is best because it expresses concern for the client and encourages the client to verbalize her feelings. Stating that emergency equipment is always kept ready evokes more fear and interrupts communication. Questioning whether the client wants to get well or that others have tolerated this procedure quite well is inappropriate.

Answer to Question 2

C
Feedback:
The nurse should explain the procedure and its purpose. The nurse telling the client that it should not take much time does not convey the purpose of the procedure. It is unnecessary for the nurse to inform the client about the technical details of the catheter. Additionally, the nurse should not give false reassurance by telling the client that the procedure will not be painful.

[mcmcdaniel]

Excellent

[nyrave]

Gracias!