The practical nurse (PN) plans to use distraction techniques while a client undergoes a brief painful procedure. Which action should the PN implement during the procedure?

Describe the procedure to the client using a step-by-step approach.

Ask the client to describe the intensity of the pain being experienced.

Encourage the client to reminisce about a favorite past family event.

Explain the benefits of various alternative strategies in managing pain.

Answer and Explanation

The Correct Answer is C

A. Describing the procedure in detail can increase anxiety or focus the client on the pain rather than distracting them from it.
B. Asking the client to describe the pain could heighten their awareness of it, which is counterproductive to the goal of distraction.
C. Encouraging the client to reminisce about a favorite past family event is a distraction technique that shifts the client's focus away from the pain, helping to manage discomfort during the procedure.
D. Explaining alternative pain management strategies is useful but not a distraction technique; it does not provide immediate relief or shift the client's focus during the procedure.

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Correct Answer is A

Explanation

A. Intense cravings are a common symptom of cocaine withdrawal. Individuals withdrawing from cocaine often experience strong urges to use the drug again, as their bodies adjust to the absence of the substance.
B. Hyperactivity is more characteristic of cocaine intoxication rather than withdrawal. During withdrawal, individuals are more likely to experience fatigue and lethargy.
C. Being talkative is associated with cocaine use, not withdrawal. Cocaine stimulates the central nervous system, leading to increased talkativeness during intoxication, but withdrawal often involves a reduction in energy and social engagement.
D. Elation is a symptom of cocaine intoxication. During withdrawal, individuals are more likely to feel dysphoric, anxious, or depressed rather than elated.

A. C-reactive protein level. B. Serum albumin. C. Serum blood glucose level. D. Culture for sensitive organisms.

Correct Answer is D

Explanation

A. C-reactive protein level is a general marker for inflammation and can indicate infection, but it does not provide specific information about the wound infection.
B. Serum albumin is important for assessing nutritional status and wound healing potential, but it does not directly address the acute issue of a possible wound infection.
C. Serum blood glucose level is significant, especially in clients with diabetes, as high glucose can impair healing and increase infection risk. However, it does not directly provide information about the infection itself.
D. Culture for sensitive organisms is the most relevant lab value to evaluate before reporting to the healthcare provider. It identifies the specific pathogens causing the infection and guides appropriate antibiotic treatment.

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The practical nurse (PN) plans to use distraction techniques while a client undergoes a brief painful procedure. Which action should the PN implement during the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior should the PN document as evidence of cocaine withdrawal?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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