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A nurse is teaching a client who has generalized anxiety disorder about ways to help manage stress. Which of the following instructions should the nurse give the client about using progressive relaxation?

"Picture taking the stress you feel and pushing it down and out of your feet."

"Focus on a pleasant memory and express your emotions in writing."

"Think about a positive outcome to a stressful situation."

"Tighten a muscle group, then release the tension and move to the next one."

Answer and Explanation

The Correct Answer is D

A. This describes guided imagery, not progressive muscle relaxation.

B. Writing about emotions is a therapeutic strategy but not progressive relaxation.

C. Thinking about positive outcomes is a cognitive technique, not a physical relaxation method.

D. This is the correct answer. Progressive relaxation involves systematically tightening and relaxing muscle groups, which helps reduce stress and anxiety.

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Correct Answer is A

Explanation

A. Placental abruption – This is the correct answer because placental abruption occurs when the placenta detaches prematurely from the uterine wall, leading to severe abdominal pain, vaginal bleeding, uterine rigidity, and signs of hypovolemic shock (low blood pressure). The hallmark sign is a painful, rigid abdomen with contractions.

B. Amniotic fluid embolus – This condition presents with sudden respiratory distress, hypotension, and disseminated intravascular coagulation (DIC), but it does not typically cause uterine rigidity or persistent contractions.

C. Placenta previa – Placenta previa typically presents with painless vaginal bleeding rather than severe abdominal pain and a rigid uterus.

D. Uterine rupture – Uterine rupture is usually associated with a history of uterine surgery (e.g., previous cesarean section). It presents with sudden, severe pain followed by cessation of contractions, not persistent contractions.

A. Insomnia B. Tinnitus C. Headache D. Hypertension

Correct Answer is C

Explanation

A. Insomnia is not a typical adverse effect of disulfiram-alcohol interaction.

B. Tinnitus is not commonly associated with disulfiram reactions.

C. This is the correct answer. Disulfiram causes an acetaldehyde accumulation reaction when alcohol is consumed, leading to symptoms such as headache, nausea, vomiting, and flushing.

D. Hypotension, not hypertension, is a more common response due to vasodilation from the reaction.

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A nurse is teaching a client who has generalized anxiety disorder about ways to help manage stress. Which of the following instructions should the nurse give the client about using progressive relaxation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a client who is taking disulfiram for alcohol use disorder and reports ingestion of alcohol. For which of the following adverse effects should the nurse monitor?

Correct Answer is C

Explanation

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