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:
Recapping the needle before disposal is not recommended due to the risk of needlestick injuries.
Choice B rationale:
Placing the needle on the bedside table poses a safety risk and is not an appropriate action.
Choice C rationale:
Discarding the needle in a puncture-proof container is the correct action for safe disposal.
Choice D rationale:
Removing the needle from the syringe may be necessary for disposal but should be done carefully and in accordance with safety protocols.
Correct Answer is C
Explanation
Choice A rationale:
this is not enough to prevent clogging and ensure adequate hydration.
Choice B rationale:
Combining medications with the formula in the feeding bag may alter the absorption and effectiveness of the medications.
Choice C rationale:
Diluting crushed medications with sterile water individually ensures accurate dosing and avoids potential interactions.
Choice D rationale:
Mixing medications in a single syringe may cause interactions between medications and compromise accurate dosing while preventing obstruction.
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