Nokea
A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?
- A. I think about my grandfather's farm to reduce pain.
- B. I listen to my favorite music to take my mind off the pain.
- C. I use focused breathing to control my pain.
- D. I learn to notice the sensation of muscle tension.
Correct Answer: A
Rationale: Guided imagery involves visualizing a calming scene like a farm to distract from pain, reducing stress and perception of discomfort.
You may also like to solve these questions
A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?
- A. The sides of the sling are for the client to hold on to.
- B. This type of device is useful for a client who cannot assist.
- C. The lower end of the sling goes below the client's calves.
- D. The device requires the client to use upper body strength.
Correct Answer: B
Rationale: Mechanical lifts aid clients unable to assist, ensuring safe transfers.
A nurse is delegating client care to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
- A. Administering vaginal cream to a client who has a vaginal infection.
- B. Providing postmortem care for a client who has just died.
- C. Suctioning a tracheostomy for a client who has a recent head injury.
- D. Changing a peripheral IV dressing for a client who is postoperative.
Correct Answer: B
Rationale: Postmortem care is within the AP’s scope, involving basic care tasks.
A nurse is caring for a postoperative male client in the surgical unit. Click to highlight the documentation in the client's medical record that requires further action by the nurse. Select all that apply
- A. Respiratory rate 10/min
- B. Pulse oximetry 88% on room air
- C. Blood pressure 99/46 mm Hg
- D. Morphine 10 mg administered subcutaneously
Correct Answer: A,B,D
Rationale: A: Low respiratory rate suggests opioid depression. B: Low SaO2 indicates hypoxemia. D: Morphine dose may need reassessment due to side effects.
A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
- A. Apply suction while inserting the catheter.
- B. Apply intermittent suction for up to 30 seconds.
- C. Preoxygenate the client prior to suctioning.
- D. Instruct the client to swallow during catheter insertion.
Correct Answer: C
Rationale: Preoxygenation prevents hypoxia during suctioning, enhancing safety.
A nurse is caring for an older adult client who has fecal incontinence. Which of the following actions should the nurse take?
- A. Apply cornstarch powder to the perineal area.
- B. Turn the client every 4 hours.
- C. Cleanse the perineal area with povidone-iodine solution.
- D. Place a moisture barrier ointment over the perineal area.
Correct Answer: D
Rationale: Moisture barrier ointment protects skin from breakdown due to fecal exposure.