A nurse is assisting in the care of a client who is taking chlorpromazine. Which of the following findings indicates a therapeutic effect medication?

A) "My husband won't need medication for breakthrough pain while using music therapy."
This statement is incorrect. While music therapy can help reduce pain perception and provide comfort, it is not a replacement for medications, especially for breakthrough pain. Breakthrough pain may still occur, and medications are often needed to manage it. Music therapy can complement the use of pain medications, but it does not eliminate the need for them.

B) "Playing music will increase my husband's alertness."
This statement is not accurate. Music therapy may enhance relaxation, reduce anxiety, and help manage pain, but it is not generally used to increase alertness in terminally ill patients. In fact, some music therapy techniques may be calming and soothing, which could encourage rest rather than increasing alertness.

C) "I will discontinue music therapy when my husband is no longer responsive."
This statement is incorrect. Music therapy can still be beneficial even if the client becomes less responsive. In hospice care, music therapy is often used to provide comfort, promote relaxation, and offer emotional support, even for clients who are less alert or responsive. Discontinuing therapy may deprive the client of a source of comfort.

D) "Music will distract my husband's awareness of the pain."
This statement is correct. Music therapy can serve as a distraction and help reduce the client's perception of pain by focusing their attention away from discomfort. It can promote relaxation, reduce anxiety, and alter the client's awareness of their pain, making it an effective complementary treatment for pain management in hospice care.

A) Encourage the client to use overbed trapeze:
Encouraging the client to use an overbed trapeze is an appropriate intervention to promote independence and mobility after an above-the-knee amputation. The trapeze allows the client to move, reposition themselves, and perform activities of daily living more independently, which is important for regaining strength and confidence during the rehabilitation process. It aids in improving upper body strength and assists in early mobility efforts.
B) Maintain abduction of the client's residual limb with a pillow:
Placing a pillow under the residual limb in a position that maintains abduction (separation of the residual limb away from the body) is not recommended after an above-the-knee amputation. This position can lead to contractures of the hip joint, limiting mobility and the ability to use a prosthetic limb in the future. Proper positioning usually involves keeping the residual limb flat or neutral to avoid deformities.

C) Caution the client to avoid a prone position while in bed:
This recommendation is incorrect. In fact, encouraging the client to spend time in the prone position (lying on their stomach) can help prevent hip contractures, especially after an above-the-knee amputation. It is important for the client to position their body in ways that encourage proper limb alignment and prevent long-term complications such as contractures that could impede mobility.

D) Keep a loose, absorbent dressing over the client's surgical site:
A loose, absorbent dressing is not ideal for post-surgical care following an amputation. A dressing should be secure, sterile, and changed regularly to prevent infection and promote optimal wound healing. Keeping a dressing loose could lead to the risk of infection or delayed healing. The nurse should follow the provider’s orders for dressing changes and monitor for signs of infection.