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?

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

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

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

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

Answer and Explanation

The Correct Answer is B

A. "Think about a positive outcome to a stressful situation." - This instruction describes a cognitive restructuring technique, which involves reframing negative thoughts with positive ones. While cognitive restructuring can be helpful for managing stress and anxiety, it is not specifically related to progressive relaxation.
B. "Tighten a muscle group, then release the tension and move to the next one." - This is the correct instruction for progressive relaxation. Progressive relaxation involves systematically tensing and relaxing muscle groups throughout the body to reduce physical tension and promote relaxation. By sequentially tensing and releasing muscle groups, the client learns to recognize and control muscle tension, which can help alleviate stress and anxiety.
C. "Focus on a pleasant memory and express your emotions in writing." - This instruction describes a journaling or expressive writing technique, which can be beneficial for processing emotions and reducing stress. However, it is not specific to progressive relaxation.
D. "Picture taking the stress you feel and pushing it down and out of your feet." - This instruction describes a visualization or imagery technique, where the client visualizes releasing stress from the body. While visualization can be a component of relaxation exercises, it is not specifically associated with progressive relaxation, which focuses on muscle tension and relaxation.

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Correct Answer is B

Explanation

A. Obtain urinary samples by disconnecting the tubing connections:
This action increases the risk of contamination and introduces bacteria into the urinary system, potentially leading to UTIs. Urine samples should be obtained using a sterile technique to minimize the risk of infection.

B. Secure the catheter to the client's thigh:
Securing the catheter to the client's thigh can cause tension and traction on the catheter, increasing the risk of urethral trauma and introducing bacteria into the urinary tract. Catheters should be secured without tension to prevent damage to the urethra and reduce the risk of UTIs.

C. Keep the urinary bag at bladder level when ambulating:
Keeping the urinary bag at bladder level when ambulating prevents urine from flowing back into the bladder, reducing the risk of UTIs. Gravity drainage helps maintain the flow of urine and prevents stasis, which can contribute to bacterial growth and UTIs.

D. Loop the tubing so that it is lower than the collection bag:
Looping the tubing so that it is lower than the collection bag creates a dependent loop where urine can accumulate, increasing the risk of bacterial colonization and UTIs. The tubing should be kept straight and free of kinks to ensure continuous drainage and prevent urine from pooling in the tubing.

A. Hearing loss B. Insomnia C. Tachycardia D. Blurred vision

Correct Answer is D

Explanation

A. Hearing loss: While digoxin toxicity can affect various organ systems, including the auditory system, resulting in symptoms such as tinnitus (ringing in the ears), hearing loss is not a typical manifestation of digoxin toxicity.
B. Insomnia: Insomnia is not a common symptom of digoxin toxicity. Clients with digoxin toxicity are more likely to experience neurological symptoms such as confusion, visual disturbances, or changes in mental status.
C. Tachycardia: Digoxin toxicity can cause arrhythmias, but it typically presents with bradycardia rather than tachycardia. Bradycardia is a hallmark sign of digoxin toxicity due to its negative chronotropic effect on the heart.
D. Blurred vision: Blurred or yellow-tinted vision is a classic symptom of digoxin toxicity, often described as "yellow halos" around lights. Visual disturbances occur due to the drug's effects on the optic nerve and can progress to more severe manifestations, such as changes in color vision or photophobia. Therefore, blurred vision is a key indicator of digoxin toxicity and requires prompt assessment and intervention.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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