One of your assigned clients who is scheduled for radiation therapy asks you to stay with her during radiation because she is scared. Your best response to this request would be which of the following responses?

Correct Answer: A

Rationale: Responding to a client's fear of radiation by suggesting ways to reduce it, while explaining the nurse must stay distant, balances empathy with safety. Radiation exposure risks prevent close contact, making hand-holding or permission-seeking impractical and hazardous. Dismissing fear invalidates the client's feelings. Offering alternatives like relaxation techniques addresses anxiety constructively, aligning with nursing's supportive role while adhering to radiation protocols.

Correct Answer: B

Rationale: Hyperpyrexia means a very high fever (e.g., 41°C), not bleeding, waxy muscles, or burns. Nurses recognize this for urgent temperature management.

Correct Answer: C

Rationale: Plain vanilla ice cream fits a full liquid diet, melting to liquid, meeting the client's request safely. Denying, calling, or deferring misses this. Nurses accommodate within guidelines.

Correct Answer: C

Rationale: Supporting bony prominences with pillows or foam pads prevents pressure ulcers by distributing weight and reducing pressure on vulnerable spots in limited-mobility patients. Prone positioning or prolonged sitting increases risk, and a 90-degree head elevation causes shear. Nurses use this technique to protect skin, ensuring comfort and circulation, a primary defense against tissue breakdown in restricted movement cases.

Correct Answer: D

Rationale: Administering humidified oxygen (D) is key with nasal cannulas, preventing nasal dryness and enhancing comfort at flows up to 6 L/min. Tight securing (A) causes discomfort. Mouth placement (B) is incorrect. Ear skin checks (C) apply to masks, not cannulas. Humidification aligns with nursing care standards, reducing irritation.