NCLEX NCLEX-PN Exam With Confidence Using Practice Dumps

Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill,

cool fingers or toes, and pain.Basic Care and Comfort

A client with sickle cell disease passes on the least sickle cell trait and possibly sickle cell disease, depending

on the sickle status of the other parent. Choice 1 is not helpful to the client. Choices 3 and 4 are not true.

Physiological Adaptation

Choice 3 not only acknowledges the client’s fear but invites more disclosure and discussion. Reflective listening is very therapeutic and in this case acknowledges the woman’s unspoken fear that she might become depressed like her mother. When her fears have been acknowledged and she feels that the nurse understands, she will be more open to the teaching or interventions to follow. It is a myth that menopause causes depression, but to say that to this client does not acknowledge the fear she shared with the nurse and gives the impression the nurse doesn’t care about her concern. It closes down communication. It is also true that menopause is a normal developmental process. This can certainly be used in teaching but not to address her immediate concern; the client might feel the nurse doesn’t think her concern is appropriate because menopause is normal. If women experience depression during menopause, it is usually due to social stresses such as loss of loved ones, loss of roles, caregiver demands, and physical problems. Choice 4 is true but is a nontherapeutic response in this situation.Health Promotion and Maintenance