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The nurse is using guided imagery with a client who is experiencing chronic pain.
What should the nurse direct the client's attention on during the session?

Positive external places.

Motivational phrases.

Tranquil sounds.

Emotional reflection.

Answer and Explanation

The Correct Answer is A

Guided imagery involves creating a specific imagined reality for yourself.

These techniques can be self-taught or guided by a professional.

The more you’re able to use your imagination and engage your senses, the greater the benefits 1.

Choice B is not the answer because motivational phrases may not be as effective as positive external places in reducing chronic pain through guided imagery.

Choice C is not the answer because tranquil sounds may not be as effective as positive external places in reducing chronic pain through guided imagery.

Choice D is not the answer because emotional reflection may not be as effective as positive external places in reducing chronic pain through guided imagery.

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Correct Answer is B

Explanation

If a nurse observes that a client is using accessory muscles, it indicates an obstruction of the airways, which reduces oxygen saturation.

Accessory muscles help in the act of forced expiration to wash out carbon dioxide and improve oxygen saturation 1.

Therefore, the nurse should obtain the respiratory rate first.

Choice A is not the answer because determining pulse pressure will not provide any significant indication of respiratory distress 1.

Choice C is not the answer because temperature does not provide any significant data about the use of accessory muscles in respiration 1.

Choice D is not the answer because pulse rate does not provide any significant data about the use of accessory muscles in respiration 1.

A. Obtain a do not resuscitate prescription. B. Set up a family conference to discuss the client's wishes. C. Discuss with the client her meaning of heroic measures. D. Consult the palliative care team about the client's care.

Correct Answer is C

Explanation

The nurse should first discuss with the client her meaning of heroic measures.

This will help the nurse to understand the client’s wishes and preferences for her care.

Choice A is incorrect because obtaining a do not resuscitate prescription should be done after discussing the client’s wishes and preferences.

Choice B is incorrect because setting up a family conference to discuss the client’s wishes should be done after discussing the client’s wishes and preferences with her.

Choice D is incorrect because consulting the palliative care team about the client’s care should be done after discussing the client’s wishes and preferences with her.

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The nurse is using guided imagery with a client who is experiencing chronic pain. What should the nurse direct the client's attention on during the session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse observes that a client is using accessory muscles. Which vital sign should the nurse obtain first?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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The nurse is using guided imagery with a client who is experiencing chronic pain.
What should the nurse direct the client's attention on during the session?