A nurse is teaching a client who has a new diagnosis of rheumatoid arthritis. Which of the following statements should the nurse include in the teaching?

Correct choice:right infront of the ear

Rationale

Chvostek's sign is a clinical indicator of hypocalcemia (low calcium levels in the blood). It suggests increased neuromuscular irritability due to low calcium levels affecting nerve excitability.

To elicit Chvostek's sign, the examiner taps lightly over the facial nerve in front of the earlobe. A positive response is observed as twitching or spasm of the facial muscles, typically the lips, nose, and cheek on the same side.

D. The nurse should ensure that the client understands how to use the PCA device, including how to press the button to deliver a dose, the lockout interval (if applicable), and any safety features. Proper education empowers the client to manage their pain effectively while minimizing risks.

A The nurse should monitor the client's respiratory rate, depth, and effort more frequently than every 4 hours, particularly during the first 24 hours of PCA use

B. Family members should be educated on the purpose of the PCA device but should not be encouraged to operate it on behalf of the client.

C. The nurse should not administer an oral opioid for breakthrough pain as the client is already receiving morphine via PCA. Adjusting the PCA settings or providing additional IV opioid doses are more appropriate interventions for managing breakthrough pain in this context.