Author Question: A young adolescent client is in the hospital preparing for major surgery for the removal of a tumor ... (Read 227 times)

go.lag · **on:** Jun 25, 2018

A young adolescent client is in the hospital preparing for major surgery for the removal of a tumor on the kidney. The client's mother tells the nurse that she doesn't want the child to receive narcotics for pain postoperatively.

Which is the best response by the nurse?
A) Okay, I'll tell the healthcare provider not to order any. Are you sure you want to do this?
B) The pain will be severe. Why don't we ask your child about this?
C) The pain for your child will be severe after surgery. Can you tell me why you feel this way?
D) You do not have a choice of medication. Decisions involving pain relief are up to the healthcare providers.

Question 2

The nurse is caring for a client who is having difficulty understanding the wound care dressing changes that need to be completed in the home after discharge.

The client asks the nurse to demonstrate the procedure again and allow the client's spouse to perform the procedure while the nurse watches. Which is the most likely outcome of this assertive request by the client?
A) A slightly increased chance that the wound will become infected due to exposure during dressing changes.
B) Less compassionate care for the client due to the spouse's irritation by the request.
C) A greater likelihood that the wound will heal appropriately.
D) A guarantee that the spouse will change the dressings correctly.

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

Answer to Question 1

Answer: C

As a client advocate, the nurse would defend the need for effective pain medication by using assertive communication. The nurse tells the mother the truth about pain and then proceeds to explore the mother's objection to the drugs. Acceding to the request of the mother is submissive communication and would not be in the best interests of the child. Telling the mother she does not have a choice is aggressive and untrue. Putting the child in the middle of the discussion is a divisive maneuver.

Answer to Question 2

Answer: C

The client used assertive communication to ensure that the dressing changes would be performed correctly, which will likely result in appropriate healing of the client's wound. No information is provided about the spouse's response to the request. There is no guarantee that the spouse will always perform the task correctly as humans make mistakes. Infection of a wound that is dressed correctly is not the likely result of the care.