A client hospitalized for diagnostic testing reports an intense fear of being found to have a terminal condition. What response by the nurse will be most therapeutic?

Correct Answer: C

Rationale: Rationale: Choice C is the most therapeutic response as it acknowledges the client's fear, opens up communication about their condition, and encourages them to share information from their doctor. This response demonstrates empathy, validates the client's feelings, and promotes an open dialogue to address their concerns. Choices A and B dismiss or ignore the client's feelings, which can worsen the client's anxiety. Choice D focuses on symptoms rather than the client's emotional distress, missing the opportunity to explore the client's fears and provide emotional support.

Correct Answer: C

Rationale: Step-by-step rationale for choice C: 1. Herpes simplex II can be transmitted even when there are no visible lesions (asymptomatic shedding). 2. The prodromal period is when the person may experience tingling or itching before lesions appear. 3. Avoiding sexual relations during prodromal period and until healed reduces transmission risk. 4. Waiting for at least 10 days after lesions are healed further decreases transmission risk. Summary: - Choice A is incorrect because transmission can occur even without visible lesions. - Choice B is incorrect as condom use may reduce but not prevent transmission entirely. - Choice D is incorrect because sexual activity should still be avoided during the healing period.

Correct Answer: B

Rationale: Correct Answer: B - High-protein diet with vitamins and mineral supplements Rationale: 1. High-protein diet aids in tissue repair and wound healing, crucial for preventing pressure ulcer formation. 2. Vitamins and mineral supplements support overall nutritional status, essential for skin integrity and healing. 3. Protein is vital for maintaining muscle mass, which helps prevent pressure ulcers. 4. Focusing on protein and essential nutrients is key for overall health and immune function. Summary of other choices: A: Low-fat diet may lack essential nutrients for wound healing. Vitamin supplements alone may not provide adequate protein for tissue repair. C: A vegetarian diet can be nutritious, but fish oil may not be sufficient for protein needs. Nutritional supplements may not provide enough protein. D: Low-fat, low-cholesterol, high-fiber, low-carb diet may lack adequate protein for tissue repair and wound healing.

Correct Answer: B

Rationale: The correct answer is B: Wear gloves when bathing the client. This is crucial to prevent the spread of infection from the open skin lesions. By wearing gloves, the UAP can protect themselves and the client from potential harm. A: Washing hands before touching the client is important for general hygiene, but gloves are specifically needed to prevent infection transmission. C: Assessing skin for breakdown is the nurse's responsibility, not the UAP's. D: Applying lotion to lesions while the skin is wet can introduce bacteria and is not within the UAP's scope of practice.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Keeping water temperature constant is crucial to prevent burns or discomfort during hydrotherapy. 2. UAPs do not have the training to assess wound beds accurately; this falls under the nurse's scope of practice. 3. Applying a topical enzyme agent requires assessment and judgment beyond UAP's scope. 4. Using sterile saline for wound irrigation is a nursing task that should not be delegated to a UAP.