A client's family members are concerned that telling the client about a new finding of cancer will cause extreme emotional distress. They approach the nurse and ask if this can be kept from the client. What actions by the nurse are most appropriate?
(Select all that apply.)
a.
Ask the family to describe their concerns more fully.
b.
Consult with a social worker, chaplain, or ethics committee.
c.
Explain the client's right to know and ask for their assistance.
d.
Have the unit manager take over the care of this client and family.
e.
Tell the family that this secret will not be kept from the client.
Question 2A client has thrombocytopenia. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Apply the client's shoes before getting the client out of bed.
b. Assist the client with ambulation.
c. Shave the client with a safety razor only.
d. Use a lift sheet to move the client up in bed.
e. Use the Waterpik on a low setting for oral care.
Question 3A client has mucositis. What actions by the nurse will improve the client's nutrition? (Select all that apply.)
a. Assist with rinsing the mouth with saline frequently.
b. Encourage the client to eat room-temperature foods.
c. Give the client hot liquids to hold in the mouth.
d. Provide local anesthetic medications to swish and spit.
e. Remind the client to brush teeth gently after each meal.
Question 4A client on interferon therapy is reporting severe skin itching and irritation. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Apply moisturizers to dry skin.
b. Apply steroid creams to the skin.
c. Bathe the client using mild soap.
d. Help the client with a hot water bath.
e. Teach the client to avoid sunlight.
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