A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

Distraction

Biofeedback

Guided imagery

Meditation

Answer and Explanation

The Correct Answer is A

A.   This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.A.   Listening to music is a form of distraction, diverting the client's attention away from pain.
B.   Biofeedback involves using electronic monitoring to help individuals gain conscious control over physiological processes, not applicable in this context.
C.   Guided imagery involves using the imagination to create calming mental images, not directly related to listening to music.
D.   Meditation involves a state of focused attention and may not be as directly applicable during a medical procedure.
B.   This statement may indicate frustration with physical therapy progress but does not directly address body image.
C.   This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D.   This statement directly addresses the client's perception of their body image following the amputation.

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Correct Answer is D

Explanation

A. Diminished urine output is a later sign of hypovolemic shock and is associated with decreased perfusion to the kidneys.
B. Cold clammy skin is also a later sign of shock, indicating poor tissue perfusion.
C. Unconsciousness is a late sign of hypovolemic shock and occurs when there is significant impairment of cerebral perfusion.
D. Tachycardia is an early compensatory mechanism in response to hypovolemia, aiming to maintain cardiac output and perfusion to vital organs.

A. Influenza (TIV) B. Inactivated poliovirus (IPV) C. Haemophilus influenza type b (Hib) D. Hepatitis B (Hep B)

Correct Answer is A

Explanation

A. Influenza vaccines are typically produced using eggs, and individuals with egg allergies may react to the vaccine. However, there are egg-free alternatives available, and consultation with an allergist is recommended in such cases.
B. Polio vaccines do not contain egg proteins and are safe for individuals with egg allergies.=
C. Hib vaccines are not contraindicated for individuals with egg allergies.
D. Hepatitis B vaccines do not contain egg proteins and are generally safe for individuals with egg allergies.

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A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is preparing to administer immunizations to a patient who has an allergy to eggs. The nurse should know that an allergy to eggs is a contraindication for which of the following immunizations?

Correct Answer is A

Explanation

A nurse is changing the dressing on a client’s wound. The nurse should recognize that which of the following findings is an indication of a wound infection?

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min.The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

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A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?

A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the client’s brain, which of the following pulse sites should the nurse use?

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A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?