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 A
Explanation
Choice A rationale:
Determining whether the client can afford the insulin administration supplies is a priority to ensure that the client can effectively manage their diabetes.
Access to supplies is crucial for adherence to the treatment plan. Financial considerations directly impact the client's ability to follow through with prescribed treatments.
Choice B rationale:
Providing the client with the contact number for a diabetes education specialist is important but is a subsequent step after addressing the immediate concern of affordability.
Choice C rationale:
Making a copy of the medication reconciliation form is a part of the documentation process but is not the first priority. While documentation is essential, addressing immediate needs takes precedence.
Choice D rationale:
Obtaining printed information about insulin self-administration is important, but assessing affordability comes first to ensure the client can implement the education received. Understanding the client's financial capacity is foundational to effective diabetes management.
Correct Answer is D
Explanation
Choice A rationale:
Assessing comfort level is important, but assessing peripheral pulses takes precedence to ensure the client's safety and prevent complications.
Choice B rationale:
Assessing skin integrity is relevant but secondary to assessing peripheral pulses. Skin integrity can be addressed after ensuring adequate circulation.
Choice C rationale:
Assessing elimination needs is not the priority in this context. While it's important to address overall care needs, assessing peripheral pulses is more critical in preventing complications related to restraints.
Choice D rationale:
Assessing peripheral pulses is the priority when caring for a client with restraints to each extremity. Monitoring circulation ensures that blood flow is maintained, and complications related to impaired circulation are promptly identified.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.