Which of the following is a complication of splenectomy :

Correct Answer: C

Rationale: Splenectomy removes the spleen, increasing risks. Cholecystitis (choice A), appendicitis (choice B), and gastritis (choice D) aren't directly linked. Pancreatitis (choice C) can occur, especially if surgery (e.g., for trauma) damages the pancreas, a nearby organ. C is correct, a known risk. Nurses monitor for abdominal pain, fever, and enzyme levels, managing this potential post-op issue.

Correct Answer: C

Rationale: Budek uses making observation (C), stating 'You appear restless' to reflect the client's behavior (pacing, agitation) at Anxiety +3 (severe). General leads (A) prompt broad responses (e.g., 'Tell me more'). Clarification (B) seeks explanation, not observation. Encouraging perception (D) asks the client's view. Observation opens dialogue neutrally, per therapeutic communication, making C correct.

Correct Answer: D

Rationale: Discouraging emotional bonds (D) isn't a characteristic of an effective nurse-client relationship; therapeutic bonds aid healing, per Peplau. Focus (A), trust (B), and acceptance (C) are key. D contradicts relational goals, making it correct.

Correct Answer: B

Rationale: Demonstration (B) is effective for teaching insulin self-injection, per psychomotor learning showing skills trumps telling. Explanation (A) lacks action, pamphlets (C) and films (D) supplement, not replace. B ensures mastery, making it correct.

Correct Answer: B

Rationale: A patient's chart is secondary (B); it's recorded by others, per data classification. Primary (A) is from the client, tertiary (C) less common, A/B (D) incorrect. B reflects documentation, making it correct.