A nurse is caring for a client who is receiving a warm, moist compress to relieve lower back pain. Which of the following findings should indicate to the nurse that the compress has been effective?
The client is laughing at a television show.
The client's skin on the lower back is intact without redness.
The client states that he is able to concentrate while reading.
The client's vital signs are within the expected reference range.
The Correct Answer is B
Choice A rationale:
Laughing at a television show is not a direct indicator of the effectiveness of the warm, moist compress in relieving lower back pain.
Choice B rationale:
Intact skin on the lower back without redness indicates that the compress has been effective in preventing skin damage or irritation.
Choice C rationale:
The ability to concentrate while reading may not be a specific indicator of the effectiveness of the warm compress in relieving lower back pain.
Choice D rationale:
Vital signs within the expected reference range are important but do not directly reflect the effectiveness of the warm compress in relieving pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Referring the client to a breast cancer support group is a helpful intervention, but it may not be the first action.
Choice B rationale:
Providing the client with a mirror to look at her mastectomy incisions may be done later in the healing process.
Choice C rationale:
Identifying the impact of the mastectomy on the client's body image is the first action to address the client's emotional needs and concerns.
Choice D rationale:
Encouraging the client to assist with her dressing changes may be appropriate but does not address the emotional aspect of the client's response.
Correct Answer is A
Explanation
Choice A rationale:
Having an implanted defibrillator is a contraindication for magnet therapy. Magnets can interfere with the functioning of electronic devices, such as defibrillators.
Choice B rationale:
Metoprolol is a beta-blocker and does not pose a contraindication for magnet therapy.
Choice C rationale:
A history of alcohol use disorder is not a contraindication for magnet therapy.
Choice D rationale:
Allergies to penicillin are not relevant to the use of magnet therapy.
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