NCLEX-PN

validates his concerns, and respects his right to receive additional information before proceeding. Acknowledging the need for clarification, the LPN offers to involve the doctor promptly, ensuring that the client has the opportunity to have his questions answered and make an informed decision. In contrast, the other options either downplay the client's concerns, make assumptions about his feelings, or provide general reassurance without directly addressing his specific questions about the procedure's reversibility. Effective communication and respect for the client's autonomy in the decision-making process are crucial in promoting informed consent and ensuring a positive healthcare experience. (See Informed Consent ) 32. The LPN is observing a client using crutches for a leg injury. Which of these would indicate a need for more education? A.​ The client has a slight bend in the elbow when using the handles. B.​ The client places the top padding 1–2 inches below the axilla with a firm grip on the handles. C.​ When going down the stairs, the client leads with the injured leg. D.​ The client rests the axilla on the top padding and loosely grips the handles with hands. Correct Response: D Explanation : The correct answer is (D) . When observing a client using crutches for a leg injury, the indication for needing more education is if the client rests the axilla on the top padding and loosely grips the handles. This practice can lead to nerve damage, as the axilla (armpit) should not bear the full weight of the body. The client should have a firm grip on the handles and use the strength of the arms to support themselves, ensuring proper weight distribution. (A) , (B) , and (C) describe appropriate crutch use: having a slight bend in the elbow, placing the top padding 1–2 inches below the axilla with a firm grip on the handles, and leading with the uninjured leg when going down the stairs. However, option D indicates a need for correction in the client's technique to prevent potential complications.(See Assessing the Client's Use of Assistive Devices ) 33. An LPN is having a serious discussion with a client who is facing a major surgery. During their conversation, the LPN is careful to pause and allow for silence. Which of these is the best reason for him to do this? A.​ It allows the client to write down questions he or she has for the doctor. B.​ It gives the client an opportunity to think about what is being discussed and ask related questions.

C.​ It allows the client to have a break from discussing such a serious topic. D.​ It is designed to make sure the client is actually paying attention. Correct Response: B

Explanation : The correct answer is (B) "It gives the client an opportunity to think about what is being discussed and ask related questions." The LPN's use of pauses and silence during a serious discussion with a client facing major surgery serves to create a conducive environment for the client to reflect on the information provided and formulate any questions or concerns that may arise. This approach facilitates open communication, allowing the client the necessary time and space to actively engage in the conversation. While the client may indeed have questions for the doctor, the primary purpose of the

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