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?

This action will help the client hear the nurse better by reducing competing sounds.

The nurse should also face the client when speaking, use short phrases, and communicate using paper and pen if needed.

Choice A is wrong because using short phrases alone is not enough to promote communication with a client who has hearing loss.

The nurse should also use other strategies such as decreasing background noise and facing the client when speaking.

Choice C is wrong because speaking in a loud voice can distort the sound and make it harder for the client to understand.

The nurse should speak clearly, slowly, and distinctly, but not shout.

Choice D is wrong because talking at a rapid rate can make it difficult for the client to follow the conversation.

The nurse should speak at a normal pace and pause between sentences.

The correct answer is choice C. “Dangle your legs over the side of the bed.” This helps prevent orthostatic hypotension, which is a form of low blood pressure that happens when standing after sitting or lying down.

Dangling the legs over the side of the bed allows blood to flow back to the heart and increases blood pressure before standing up.

Choice A is wrong because “Perform regular isometric exercises.” Isometric exercises are muscle contractions without movement, such as squeezing a ball or clenching a fist.

These exercises do not help with orthostatic hypotension because they do not improve blood circulation or blood pressure.

Choice B is wrong because “Increase your intake of protein.” Protein intake does not affect orthostatic hypotension directly.

However, staying hydrated by drinking plenty of fluids can help prevent or manage the condition by maintaining blood volume and blood pressure.

Choice D is wrong because “Use your incentive spirometer.” An incentive spirometer is a device that helps improve lung function after surgery by encouraging deep breathing.

It does not prevent orthostatic hypotension because it does not affect blood pressure or blood flow.