A nurse is caring for a client who delivered a newborn by caesarean section birth 1 day ago. The client requests nonpharmacological interventions to manage pain when changing positions. Which of the following responses should the nurse take

You can splint the incision with a pillow when changing positiion

You should change position as little as possible

You should use patterned paced breathing when changing positions

You can apply counterpressure to your back with each position change

Answer and Explanation

The Correct Answer is A

A) You can splint the incision with a pillow when changing position: Splinting the incision with a pillow is an excellent nonpharmacological method to manage pain during position changes after a cesarean section. The pillow helps provide support to the incision site, reduces strain on the abdominal muscles, and minimizes discomfort when the client moves. This is a safe and effective intervention to help with pain management.

B) You should change position as little as possible: While minimizing movement might seem like a way to prevent pain, it can lead to complications like muscle stiffness, poor circulation, and respiratory issues. It’s important for clients to change positions to promote comfort, circulation, and lung expansion, but they should do so with support to manage pain effectively.

C) You should use patterned paced breathing when changing positions: Patterned paced breathing is a helpful relaxation technique that can be used in various situations, including labor and delivery. However, it is not the most appropriate response in this context, as the client’s pain is more related to physical discomfort from the incision, and physical support (like splinting the incision) would be more effective in managing this type of pain.

D) You can apply counterpressure to your back with each position change: While counterpressure can be beneficial for back pain during labor, it is not the most relevant technique for managing pain after a cesarean section, where the pain is related to the abdominal incision site. Splinting the incision provides more targeted support for post-cesarean discomfort.

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Correct Answer is ["A","B","D","F","G","I"]

Explanation

Yellowing of the eyes (Jaundice) → Isoniazid and Rifampin can cause hepatotoxicity, leading to jaundice.

Blurred vision → Ethambutol can cause optic neuritis, leading to blurred vision and color blindness.

Dry eyes (Incorrect) → Not a common side effect of TB medications.

Gastrointestinal:

Abdominal pain → Isoniazid, Rifampin, and Pyrazinamide are hepatotoxic and can cause liver inflammation and gastric irritation.

Weight gain (Incorrect) → TB medications are more likely to cause weight loss rather than gain.

Hematologic:

Increased bruising & bleeding tendencies → Rifampin can cause thrombocytopenia, increasing the risk of bruising and bleeding.

Insomnia (Incorrect) → Not a serious adverse effect of TB medications.

Genitourinary:

Darkening of the urine → Rifampin causes orange-red discoloration of urine, sweat, and tears, which is a benign but expected effect.

Urinary frequency (Incorrect) → Not a known adverse effect of TB medications.

A. Orange juice B. Baked chicken breast C. Sweet potato D. Cantaloupe

Correct Answer is B

Explanation

A) Orange juice:
Orange juice is high in potassium, with one cup containing a significant amount of the nutrient. For clients who need to limit their potassium intake due to an electrolyte imbalance (such as in kidney disease or hyperkalemia), orange juice should be avoided or consumed in limited amounts.

B) Baked chicken breast:
Baked chicken breast is the lowest in potassium among the options provided. While chicken does contain some potassium, it is relatively low compared to fruits and vegetables. This makes it a better choice for clients needing to limit their potassium intake. Lean meats like chicken are often recommended for clients on a restricted potassium diet.

C) Sweet potato:
Sweet potatoes are very high in potassium, especially when compared to many other vegetables. A serving of sweet potato can contain a large amount of potassium, making it unsuitable for clients who need to manage their potassium levels.

D) Cantaloupe:
Cantaloupe is also high in potassium. A single serving can provide a substantial amount of potassium, which can be problematic for clients with electrolyte imbalances who need to limit their potassium intake.

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Body system	Findings
Head. Eyes. Ears. Nose, and Throat (HEENT)	Yellowing of the eyes Blurred vision Dry eyes
Gastrointestinal	Abdominal pain Weight gain
Hematologic	Increased bruising Increased bleeding tendancies Insomnia
Genitourinary	Darkening of the urine Urinary frequency

A nurse is caring for a client who delivered a newborn by caesarean section birth 1 day ago. The client requests nonpharmacological interventions to manage pain when changing positions. Which of the following responses should the nurse take

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","D","F","G","I"]

Explanation

A nurse is reinforcing teaching with a client who has an electrolyte imbalance. Which of the following foods should the nurse include as the lowest in potassium?

Correct Answer is B

Explanation

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