A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have a natural childbirth. Which of the following responses should the nurse make?
Maybe next time you can have a vaginal delivery.
It sounds like you are feeling sad that things didn’t go as planned.
At least you know you have a healthy baby.
You can resume sensations sooner than if you had delivered vaginally.
The Correct Answer is B
Choice A reason:
Saying “Maybe next time you can have a vaginal delivery” is not supportive and may minimize the client’s current feelings of disappointment. It is important to acknowledge and validate the client’s emotions rather than focusing on future possibilities.
Choice B reason:
This response, “It sounds like you are feeling sad that things didn’t go as planned,” is empathetic and validates the client’s feelings. It shows that the nurse is listening and understands the client’s disappointment, which is crucial for emotional support.
Choice C reason:
While it is true that having a healthy baby is important, saying “At least you know you have a healthy baby” can come across as dismissive of the client’s feelings. It is essential to address the client’s emotions directly rather than shifting the focus.
Choice D reason:
Telling the client “You can resume sensations sooner than if you had delivered vaginally” is not relevant to the client’s expressed feelings of disappointment about not having a natural childbirth. This response does not address the emotional aspect of the client’s experience.
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Correct Answer is B
Explanation
Choice A reason:
Clean clothing is important for comfort and hygiene during a disaster, but it is not typically considered an essential item for a basic disaster preparedness kit. Essential items focus on survival needs such as food, water, and medical supplies.
Choice B reason:
Personal identification is crucial in a disaster situation. It helps in verifying identity, accessing services, and reuniting with family members. Important documents such as identification cards, insurance policies, and bank records should be included in a waterproof container.
Choice C reason:
The recommendation is to have one gallon of water per person per day for at least three days, which totals three gallons, not quarts. Water is essential for drinking and sanitation.
Choice D reason:
Matches can be useful for starting fires for warmth or cooking, but they are not considered a primary necessity in a basic disaster preparedness kit. More critical items include food, water, and medical supplies.
Choice E reason:
Prescription medications are essential for individuals who rely on them for chronic conditions. Having an adequate supply of necessary medications can be life-saving during a disaster when access to pharmacies may be limited.
Correct Answer is D
Explanation
Choice A Reason:
Constipation is not typically associated with hyperthyroidism. Hyperthyroidism usually speeds up the body’s metabolism, leading to symptoms like increased bowel movements or diarrhea rather than constipation.
Choice B Reason:
Sensitivity to cold is more commonly associated with hypothyroidism, where the body’s metabolism slows down. In hyperthyroidism, patients often experience heat intolerance due to an increased metabolic rate.
Choice C Reason:
Weight gain of 4.5 kg (10 lbs) in 3 weeks is also more indicative of hypothyroidism. Hyperthyroidism generally causes weight loss despite an increased appetite because of the accelerated metabolism.
Choice D Reason:
Frequent mood changes are a common symptom of hyperthyroidism. The excess thyroid hormones can affect the nervous system, leading to symptoms such as anxiety, irritability, and mood swings.
