A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which of the following instructions should the nurse include regarding effleurage?

"Assist her to breathe in deeply at the beginning of each contraction."

"Apply steady pressure with this tennis ball to her sacral area."

"Gently stroke her abdomen during contractions."

"Help her to focus on an object in the room."

Answer and Explanation

The Correct Answer is C

The correct answer is C. Effleurage is a type of massage that involves gently stroking or rubbing the abdomen during contractions to provide comfort and distraction. It can also stimulate endorphin release and reduce pain perception. Breathing deeply at the beginning of each contraction is a relaxation technique, not effleurage. Applying pressure to the sacral area with a tennis ball is a counterpressure technique, not effleurage. Focusing on an object in the room is a focal point technique, not effleurage.

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Correct Answer is C

Explanation

The correct answer is choice C. Providing discharge teaching about home IV medication therapy.

Choice A rationale:

Administering a subcutaneous insulin injection is a task that can be delegated to a licensed practical nurse (LPN) or a trained unlicensed assistive personnel (UAP) under the supervision of an RN, as it is a routine and straightforward procedure.

Choice B rationale:

Collecting a sputum culture is also a task that can be performed by an LPN or a trained UAP. It does not require the advanced assessment skills of an RN.

Choice C rationale:

Providing discharge teaching about home IV medication therapy requires the advanced knowledge and skills of an RN. This task involves comprehensive education, assessment of the patient’s understanding, and ensuring the patient can safely manage their IV medication at home. It is critical for patient safety and effective care management.

Choice D rationale:

Removing an NG tube is a procedure that can be performed by an LPN or a trained UAP. It is a relatively simple task that does not require the advanced skills of an RN.

A. "Playing music will increase my husband's alertness." B. "I will discontinue music therapy when my husband is no longer responsive." C. "My husband won't need medication for breakthrough pain while using music therapy. D. "Music will distract my husband's awareness of the pain."

Correct Answer is D

Explanation

The correct answer is D. Music will distract my husband's awareness of the pain. Music therapy can help reduce pain perception by providing a pleasant distraction and

stimulating endorphin release.

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A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which of the following instructions should the nurse include regarding effleurage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for four clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the partner of a client who is receiving hospice care about music therapy for pain management. Which of the following statements by the partner indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is implementing a bladder training program for a client who had a stroke. Which of the following interventions should the nurse take first?

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