A client comes into the community health center upset and crying stating 'I will die of cancer now that I have this disease.' And then the client hands the nurse a paper with one word written on it: 'Pheochromocytoma.' Which response should the nurse state initially?

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Providing Personal Care and Comfort Questions

Question 1 of 5

A client comes into the community health center upset and crying stating 'I will die of cancer now that I have this disease.' And then the client hands the nurse a paper with one word written on it: 'Pheochromocytoma.' Which response should the nurse state initially?

Correct Answer: A

Rationale: Addressing the cancer fear directly calms the client with accurate information.

Question 2 of 5

At a nursing staff meeting, there is discussion of perceived inequities in weekend staff assignments. As a follow-up, the nurse manager should initially

Correct Answer: B

Rationale: Clarifying rationale addresses concerns and sets the stage for discussion.

Question 3 of 5

Postoperative orders for a client undergoing a mitral valve replacement include monitoring pulmonary artery pressure together with pulmonary capillary wedge pressure with a pulmonary artery catheter. The purpose of these actions by the nurse is to assess

Correct Answer: B

Rationale: Wedge pressure reflects left ventricular preload, critical post-mitral surgery.

Question 4 of 5

A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?

Correct Answer: A

Rationale: Fever causes flushed skin due to vasodilation.

Question 5 of 5

In a long term rehabilitation care unit, a client with spinal cord injury complains of a pounding headache. The client is sitting in a wheelchair watching television. Further assessment by the nurse reveals excessive sweating, a splotchy rash, pilomotor erection, facial flushing, congested nasal passages and a heart rate of 50. The nurse should perform which action next?

Correct Answer: C

Rationale: Symptoms suggest autonomic dysreflexia, often triggered by bladder distention.

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