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    ATI Adult health proctored exam (med surg)

    A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy.The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure.Which of the following responses by the nurse is appropriate?

    Explanation & Rationale

    Choice A rationaleDiscussing the client's anxiety only after obtaining consent dismisses their current emotional state and fails to address their immediate concerns about pain. Addressing anxiety proactively fosters trust and ensures the client feels heard and supported before proceeding with the procedure. Delaying the conversation can increase the client's anxiety levels.Choice B rationaleWhile the provider may administer a sedative, this statement doesn't fully address the client's anxiety about potential pain. It provides information about medication but doesn't offer reassurance or acknowledge the client's feelings. A more comprehensive approach would involve both medication and supportive communication.Choice C rationaleMinimizing the client's anxiety by comparing it to the bowel preparation can be dismissive and doesn't validate their feelings about the procedure itself. Each individual experiences procedures differently, and focusing on the discomfort of the preparation might not alleviate their fear of pain during the colonoscopy.Choice D rationaleAcknowledging the client's anxiety validates their feelings and establishes a supportive nurse-client relationship. Reassuring the client that measures will be taken to ensure their comfort directly addresses their concern about pain. This approach promotes trust and can help reduce the client's anxiety about the procedure.

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