Home » NCLEX » NCLEX-RN » A client is going to have a pneumonectomy in the morning. She had a previous negative surgical experience, is talking rapidly, and has an increased pulse and respiratory rate. Nursing interventions for this client should include:
A client is going to have a pneumonectomy in the morning. She had a previous negative surgical experience, is talking rapidly, and has an increased pulse and respiratory rate. Nursing interventions for this client should include:
A. Providing opportunities to ask questions and talk about concerns
B. Providing distractors such as reading or watching television
C. Telling her that she should not be so nervous and assuring her that everything will be OK
D. Reminding her that this surgery is not as extensive as her past surgery was
Correct Answer: A
Explanation/Reference:
Explanation:
(A) This intervention will help to clarify any misunderstandings about the surgery and give the client an opportunity to verbalize concerns about the surgery. (B) Distractors will not alleviate the preoperative anxiety that the client is experiencing. This response actually denies the client’s anxiety. (C) This intervention is false assurance and denies that anxiety is a normal response to the threat of surgery. (D) Psychological responses are not directly related to the extent of the surgery, because they are influenced by the client’s past experiences.
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