The practical nurse (PN) is caring for a client in the preoperative holding area who is waiting for abdominal surgery. The client tells the PN about feeling afraid and anxious because of the surgery. Which technique is best for the PN to assist the client to use while waiting for surgery?
Mindfulness.
Guided imagery.
Biofeedback.
Cognitive reframing.
The Correct Answer is B
Guided imagery is a technique that can help the client to relax and reduce anxiety by imagining a peaceful and calming scene. This technique can be helpful for clients waiting for surgery to reduce stress and promote relaxation.
Option A (mindfulness) may also be helpful, but it may require more practice and preparation than guided imagery.
Option C (biofeedback) may not be feasible in the preoperative holding area, and
Option D (cognitive reframing) may not be helpful in the immediate preoperative period.
Therefore, options A, C, and D are not answers because they may not be the most effective technique to help the client in the preoperative holding area.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The practical nurse (PN) should recognize that a newborn whose mother has poorly controlled type 1 diabetes mellitus and is exhibiting grunting with mild sternal retractions is exhibiting signs of patent ductus arteriosus. Patent ductus arteriosus is a condition in which the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta, fails to close after birth. This can result in abnormal blood flow between the aorta and pulmonary artery, leading to respiratory distress.
Hypothyroidism (Option A) and hyperinsulinemia (Option C) are conditions that can occur in newborns, but they do not typically present with grunting and sternal retractions.
Ventral septal defect (Option D) is a congenital heart defect that can cause respiratory distress, but it is not specifically associated with maternal diabetes.
Correct Answer is A
Explanation
In this situation, the practical nurse (PN) should coach the client to take slow, deep breaths during each contraction. The client has already been medicated with butorphanol and promethazine for pain relief and it may not be appropriate to administer another dose at this time. Instead, the PN can provide non- pharmacological pain relief measures such as coaching the client to use breathing techniques to help manage the pain during contractions. The other actions listed may also be appropriate in some situations, but coaching the client to use breathing techniques is the most appropriate action in this situation.
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