A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

Distraction

Biofeedback

Guided imagery

Meditation

Answer and Explanation

The Correct Answer is A

A.   This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.A.   Listening to music is a form of distraction, diverting the client's attention away from pain.
B.   Biofeedback involves using electronic monitoring to help individuals gain conscious control over physiological processes, not applicable in this context.
C.   Guided imagery involves using the imagination to create calming mental images, not directly related to listening to music.
D.   Meditation involves a state of focused attention and may not be as directly applicable during a medical procedure.
B.   This statement may indicate frustration with physical therapy progress but does not directly address body image.
C.   This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D.   This statement directly addresses the client's perception of their body image following the amputation.

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Correct Answer is D

Explanation

A. Colchicine is not used to treat osteoarthritis; its therapeutic effect is specific to gout.
B. Colchicine can be used both for acute gout attacks and for prophylaxis in some cases, so saying it does not help with long-term management is inaccurate.
C. Colchicine does not reduce uric acid levels or crystal formation; instead, it works by decreasing the inflammatory response.
D. Colchicine reduces inflammation and swelling associated with an acute gout attack, and clients can expect symptom improvement within 2 to 3 days.

A. Use a new sponge each time the surgical site is scrubbed. B. Cleanse the surgical site with a povidone-iodine solution. C. Shave the client’s hair near the surgical site. D. Scrub the surgical site starting at the outer edge and moving inwards

Correct Answer is A

Explanation

A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.

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A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about colchicine with client who has gout. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is D

Explanation

A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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