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    Ati rn adult medical surgical 2023 proctored exam

    A nurse is caring for a client who is postoperative following a total knee arthroplasty. The client tells the nurse, "I will not be able to play with my grandchildren anymore." Which of the following responses should the nurse make?

    Explanation & Rationale

    Rationale: A. "I am sure you will be able to still spend time with your grandchildren." While reassurance is important, this statement may not be realistic, and it does not acknowledge the client’s feelings of uncertainty. The client may need more support and guidance regarding their post-surgery recovery and limitations. B. "Why do you think you won't be able to play with your grandchildren?" This question may sound confrontational or dismissive of the client’s concerns. It is more important to validate the client’s emotions and explore their feelings in a non-judgmental way.. C. "You will not be as active for a couple of years." This statement is overly negative and does not provide an opportunity to explore the client’s emotional needs. Recovery from knee arthroplasty varies and focusing on long-term inactivity could discourage the client. D. "What are some of the activities you like to do with your grandchildren?" This open-ended question validates the client’s feelings and helps shift the focus towards their interests and goals. It allows the nurse to explore realistic expectations and discuss ways to resume activities after recovery, fostering a positive outlook.

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