A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?

Instruct the client to take deep, rhythmic breaths.

Encourage the client to apply a heating pad for 2 hr at a time.

Remove distractions from the client's room.

Apply an ice pack to the client's back for 1 hr.

Answer and Explanation

The Correct Answer is A

A.   Deep breathing is a relaxation technique that can help reduce pain by increasing oxygen delivery, decreasing muscle tension, and promoting a sense of calmness. The nurse should instruct the client to breathe slowly and deeply through the nose and exhale through the mouth.
B.   Heat therapy may provide relief for muscle-related back pain but should not be applied for prolonged periods as it may cause tissue damage.
C.   Minimizing environmental stimuli can help the client focus on relaxation techniques and alleviate pain perception but is not as effective as deep breathing.
D.   Ice therapy is typically used for acute pain or inflammation and may not be appropriate for mild, ongoing back pain.

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Correct Answer is ["A","C","E"]

Explanation

A. Hypocalcemia can lead to paresthesia, including tingling sensations around the lips.
B. Abdominal distention is not typically associated with hypocalcemia.

C. Hypocalcemia can result in a positive Trousseau's sign, where carpal spasm is induced by inflating a blood pressure cuff above the systolic pressure for a few minutes.
D. Chvostek's sign is typically positive in hypocalcemia, not negative.

E. Hypocalcemia can cause muscle cramps due to increased neuromuscular excitability.

A. The client is incapable of providing self-care. B. The client is unable to express their wishes. C. The client is terminally ill. D. The client has refused treatment

Correct Answer is B

Explanation

A. While durable power of attorney may come into effect if the client becomes incapacitated, it specifically pertains to healthcare decision-making rather than self- care activities.
B. Durable power of attorney for healthcare decisions is enforceable when the client is unable to make or communicate their own healthcare decisions.
C. Terminal illness may be a factor in the decision-making process, but durable power of attorney is not contingent upon terminal illness.
D. Refusal of treatment is a separate issue from durable power of attorney and does not directly relate to the enforceability of a healthcare proxy.

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A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?

Correct Answer is B

Explanation

A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

A nurse is preparing to document in the client's medical record. The nurse should identify that which of the following abbreviations are specified by The Joint Commission for placement on a facility's Do Not Use list? (Select all that apply.)

A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?

A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is preparing to transfer a client to the radiology department using a wheelchair. Which of the following actions should the nurse take?

A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states. "I cannot do this. I do not want this surgery." Which of the following actions should the nurse take?

A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?