A patient experiencing pain states that guided imagery has made the pain more manageable in the past.
To assist this patient, the nurse should:.
bring a newspaper or deck of cards according to patient choice.
find a focal point in the room.
obtain skin lotion and a towel to give a back rub.
read from a script that helps the patient visualize a restful place.
The Correct Answer is D
Choice A rationale:
Bringing a newspaper or deck of cards does not directly relate to guided imagery, which is a technique used to help patients manage pain through visualization. It's important to provide interventions that align with the patient's expressed preference and pain management goals.
Choice B rationale:
Finding a focal point in the room is not directly related to guided imagery. While it may be helpful for relaxation in some cases, it's not a specific technique for guiding a patient through visualization to manage pain.
Choice C rationale:
Obtaining skin lotion and a towel for a back rub is not related to guided imagery, and it assumes the patient's preference without considering the patient's previously mentioned benefit from guided imagery.
Choice D rationale:
Reading from a script that helps the patient visualize a restful place aligns with the practice of guided imagery. This technique can be effective in helping patients manage pain by redirecting their focus and promoting relaxation. It's a suitable intervention based on the patient's past experience and preferences. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Asking the patient to rate their pain on a scale of 0-10 is a good initial response to assess the severity of pain. However, it should be followed by a more comprehensive assessment, which may include addressing the patient's concern about pain in the removed limb and providing appropriate interventions.
Choice B rationale:
Telling the patient that it is not possible to experience pain because the limb and nerves were removed is inaccurate and insensitive. This response does not address the patient's reported pain and may be perceived as dismissive.
Choice C rationale:
Telling the patient that they are not experiencing pain is both inaccurate and dismissive of the patient's reported pain. This response does not demonstrate empathy or a patient-centered approach to care.
Choice D rationale:
"I understand you are in pain, please rate your pain on a scale of 0-10, and I will get a mirror to assess the area" is the best response. This response acknowledges the patient's pain, uses a pain assessment scale to quantify the pain, and offers a solution to assess the area with a mirror. It demonstrates empathy and a proactive approach to addressing the patient's concern. .
Correct Answer is D
Explanation
Choice A rationale:
The CPAP device should not fit loosely on the face. It should fit snugly to create a proper seal and maintain positive airway pressure. A loose-fitting CPAP mask may not effectively treat obstructive sleep apnea (OSA).
Choice B rationale:
The CPAP device typically delivers consistent pressure throughout both inhalation and exhalation. It does not deliver less pressure during exhalation. The purpose of CPAP is to maintain a constant pressure to keep the airway open during both phases of the respiratory cycle.
Choice C rationale:
The CPAP device does not require an invasive ventilation tube. It uses a mask that covers the nose or both the nose and mouth to deliver positive airway pressure. It is non-invasive and is designed to keep the airway open by delivering pressurized air.
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