Author Question: The nurse accompanies the healthcare provider into the client's room and listens as the diagnosis of ... (Read 156 times)

BrownTown3 · **on:** Jun 25, 2018

The nurse accompanies the healthcare provider into the client's room and listens as the diagnosis of cancer is shared with the client and family.

Once the healthcare provider leaves the room, the nurse notes that the client and family are teary-eyed regarding the diagnosis. What is the nurse's most appropriate intervention at this time?
A) Arrange for the client to complete a medical power of attorney form.
B) Provide emotional support in coping with the diagnosis.
C) Provide teaching about the treatment options for this form of cancer.
D) Help the client and family remain realistic about prognosis.

Question 2

The nurse is caring for a client admitted with renal failure and metabolic acidosis. Which clinical manifestation would indicate to the nurse that planned interventions to relieve the metabolic acidosis have been effective?

A) Decreased respiratory depth
B) Palpitations
C) Increased deep tendon reflexes
D) Respiratory rate of 38

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

Answer to Question 1

Answer: B

When a client and family receive a new diagnosis of cancer, it tends to evoke many emotions, including fear, grief, and anger. This is not an opportune time to teach or set goals. The client and family require emotional support at this time, and other actions can be initiated when they have time to learn to accept and cope with the diagnosis.

Answer to Question 2

Answer: A

The client with metabolic acidosis will have an increased respiratory rate and depth. Signs that care has been effective would include a decrease in the rate and depth of respirations. An increased respiratory rate, as indicated by a respiratory rate of 38, would indicate continued metabolic acidosis. Increased deep tendon reflexes and palpitations are not associated with metabolic acidosis.