When preparing a client for surgery, the nurse observes that the client has been crying. When the nurse asks the client to sign the surgery consent form, the client states 'I guess I should just go ahead and sign it, even though I'm not really sure about doing this.' The best response by the nurse would be:

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NCLEX Questions Integumentary System Questions

Question 1 of 5

When preparing a client for surgery, the nurse observes that the client has been crying. When the nurse asks the client to sign the surgery consent form, the client states 'I guess I should just go ahead and sign it, even though I'm not really sure about doing this.' The best response by the nurse would be:

Correct Answer: C

Rationale: The nurse has a responsibility to assess further what the client is upset/concerned about prior to surgery. If the nurse was present when the physician gave informed consent, he can reinforce any information. The client has a right to have all questions answered prior to signing a consent for surgery.

Question 2 of 5

During the teaching session for a client who recently had a hysterectomy, the client states that she is nervous about taking the estrogen replacement therapy prescribed by her physician. She states that she is worried about developing breast cancer later in life. Which of the statements by the nurses will be most appropriate?

Correct Answer: B

Rationale: Estrogen-only therapy post-hysterectomy does not increase breast cancer risk, unlike combined therapy, correcting the client's misconception.

Question 3 of 5

A nurse assesses a client who has two skin lesions on his chest. Each lesion is the size of a nickel, flat, and darker in color than the client's skin. How should the nurse document these lesions?

Correct Answer: A

Rationale: Patches are larger flat areas of the skin. The information provided does not indicate a mole or the presence of erythema.

Question 4 of 5

A nurse assesses a client who has a chronic wound. The client states, 'I do not clean the wound and change the dressing every day because it costs too much for supplies.' How should the nurse respond?

Correct Answer: A

Rationale: For chronic wounds in the home, clean tap water and nonsterile supplies are acceptable and cheaper alternatives.

Question 5 of 5

A nurse cares for a client who has facial burns. The client asks, 'Will I ever look the same?' How should the nurse respond?

Correct Answer: C

Rationale: The nurse should provide accurate information that cosmetic surgery can help but not restore the exact preburn appearance.

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