A nurse assesses a client who was started on intraperitoneal therapy 5 days ago. The client reports abdominal pain and feeling warm. For which complication of this therapy should the nurse assess this client?

Correct Answer: D

Rationale: The correct answer is D: Infection. The client's symptoms of abdominal pain and feeling warm are indicative of a potential infection, which is a common complication of intraperitoneal therapy. The nurse should assess for signs of infection such as fever, chills, redness, or drainage at the catheter site. Prompt intervention is crucial to prevent further complications. A: Allergic reaction - This is unlikely based on the client's symptoms and the timing of starting the therapy 5 days ago. B: Bowel obstruction - This is not a typical complication of intraperitoneal therapy and doesn't align with the client's symptoms. C: Catheter lumen occlusion - While this is a possible complication, the symptoms described by the client are more indicative of an infection rather than catheter occlusion.

Correct Answer: C

Rationale: The correct answer is C because identifying events that trigger anxiety and hallucinations is a crucial step in managing auditory hallucinations. By recognizing these triggers, the client can develop coping strategies to reduce anxiety and potentially decrease the frequency or intensity of the voices. A is incorrect because verbalizing the reason for the derogatory statements does not address the underlying triggers causing the hallucinations. B is incorrect because completely eliminating auditory hallucinations is often a challenging goal and may not be realistic for all clients. D is incorrect because integrating hallucinations into one's personality structure is not a recommended or evidence-based approach in mental health practice.

Correct Answer: A

Rationale: George used exercise as a stress management technique, as swimming during his lunch hour helped reduce his anxiety. Exercise is known to release endorphins, which are natural mood lifters, and reduce stress hormones like cortisol. It also helps improve overall physical and mental health. Deep breathing, guided imagery, and progressive muscle relaxation are also effective stress management techniques, but in this scenario, exercise directly contributed to reducing George's anxiety.

Correct Answer: B

Rationale: The correct answer is B - to advocate for the patient's wishes. The nurse should ensure the physician is aware of the patient's preferences and wishes regarding end-of-life care. Advocating for the patient's autonomy and ensuring their wishes are respected is crucial in providing patient-centered care. Choices A and C involve overstepping the nurse's role by either blindly following orders or suggesting treatment without proper authority. Choice D is inappropriate as it implies the nurse should manipulate the physician's perspective. Advocating for the patient's wishes promotes ethical and compassionate care in end-of-life situations.

Correct Answer: C

Rationale: The correct answer is C: Democratic. The charge nurse's leadership style is democratic because she involves all group members in the decision-making process by eliciting their opinions and organizing a vote. This approach allows for input from everyone, promotes collaboration, and ensures that all voices are heard. A: Laissez-faire is incorrect because the charge nurse is actively involved in the decision-making process. B: Autocratic is incorrect because the charge nurse is not making decisions unilaterally without input from others. D: Scientific is incorrect as it does not accurately describe the charge nurse's leadership style in this context, which is more focused on group consensus and participation.