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Music can be a soothing nonpharmacologic method to reduce pain and may help with relaxation, even for confused patients, as it typically doesn’t require cognitive engagement.

Aromatherapy is generally safe and may offer calming effects for older adults without relying heavily on cognitive processing.

Heat application is a physical pain relief method, and as long as safety precautions are taken, it can be used effectively in confused patients.

Distraction can be a beneficial technique for pain relief and is often effective without requiring cognitive engagement.

Decreased lung sounds on expiration are common in COPD patients due to airway obstruction but do not necessarily indicate an acute issue.

An anterior-posterior diameter ratio of 1:1 (barrel chest) is a common finding in advanced COPD but does not indicate acute worsening.

Hyperresonance to percussion is typical in patients with COPD due to air trapping and does not suggest an immediate emergency.

Decreased tactile fremitus may occur in COPD due to increased air trapping but is not an urgent finding requiring immediate reporting.

Fluid restriction by mouth is not typically necessary with opioid administration unless other health conditions require it.

A low salt diet is unrelated to opioid administration unless there are concurrent health issues like hypertension or fluid retention.

A chest x-ray is not indicated solely due to opioid use.

Antidiarrheal medication is not needed, as opioids are more likely to cause constipation rather than diarrhea.

Supine is not recommended, as it can make breathing more difficult by limiting chest expansion.

Trendelenberg is not suitable for someone with breathing difficulties, as this position can worsen dyspnea.

Semi-Fowler may help but is less effective than High-Fowler in cases of acute respiratory distress.

Left-lateral does not optimize chest expansion and is not typically recommended for respiratory distress.

Changing the tracheostomy tube is only necessary if the tube is obstructed or malfunctioning, and suctioning is generally the first step.

Notifying the healthcare provider may be needed if suctioning is ineffective or if complications persist, but immediate intervention is required.

Changing the tracheostomy dressing does not address the respiratory noise or potential secretion buildup.

A head-to-toe assessment may be needed, but the immediate concern is clearing the airway obstruction.

Venous insufficiency typically presents with swelling and pain that worsens with prolonged standing, not with exercise.

Muscle cramps may cause pain but are usually not consistently triggered by activity and relieved by rest.

Deep vein thrombosis would typically present with pain, swelling, warmth, and redness rather than exercise-induced pain relieved by rest.

Bruit from turbulent blood flow is an audible sound over an artery and not directly related to the type of pain described.

Palpate, inspect, percuss, and then auscultate is not the correct order, as inspection is always performed first.

Percuss, palpate, auscultate, and then inspect is incorrect, as inspection should come first.

Auscultate, inspect, percuss, and then palpate is also incorrect, as auscultation is typically the last step.

Inspect, auscultate, palpate, and then percuss is close but does not follow the standard order.

Comparing apical and radial pulse rates is useful in assessing pulse deficits but does not directly address the cause of the thrill.

Palpating the quality of the peripheral pulses does not provide specific information about the thrill's origin.

Finding the point of maximal impulse is a useful cardiac assessment but does not directly explain the cause of the thrill.

Checking capillary refill time assesses peripheral perfusion but does not relate to the thrill's cause.

Calling another nurse for help is unnecessary unless additional assistance is required after initial interventions.

Giving pain medication as ordered may address the chest pain but does not address the immediate need for oxygenation.

Calling the admitting healthcare provider can be done later if symptoms do not improve, but the immediate priority is to improve oxygenation.

Telling the client to remain calm may help reduce anxiety but does not address the low oxygen saturation.