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Is not relevant to the client's question and does not provide any information or support.

Is not relevant to the client's question and does not provide any information or support.

Is not relevant to the client's question and does not provide any information or support.

May not be enough to help the client deal with his pain and may not address his psychological or emotional needs.

May not be effective in helping the client deal with his pain and may be distracting or irritating for him.

May not be necessary or appropriate for this client and may increase the risk of side effects or dependence. The PN should assess the client's pain level and response to the current dose before requesting a change in medication.

Is not the best response because it may sound defensive or sarcastic and may not deter the adolescent from making similar comments in the future.

Is not the best response because it may encourage or reinforce the adolescent's inappropriate or sexual comments and may imply that the PN is interested or flatered by them.

is not the best response because it may sound threatening or punitive and may not address the underlying issue of the adolescent's behavior. The PN should inform the parents only if the behavior persists or escalates.

Macular edema is a condition that causes swelling and fluid accumulation in the macula, the central part of the retina that is responsible for sharp and detailed vision. It can cause blurred or distorted vision, but it does not affect the optic nerve or the peripheral vision.

Cataract is a condition that causes clouding of the lens, which is the transparent structure that focuses light onto the retina. It can cause blurred, dim, or yellowed vision, but it does not affect the optic nerve or the intraocular pressure.

Diabetic retinopathy is a complication of diabetes that damages the blood vessels in the retina and causes bleeding, leakage, or scarring. It can cause blurred, fluctuating, or darkened vision, but it does not affect the optic nerve or the intraocular pressure

Is not recommended because it may increase the pain or cause injury to the muscle or nerve.

Is not necessary unless there is a suspicion of vascular compromise or thrombosis, which are unlikely causes of a leg cramp.

Is not helpful because it may impair blood flow or increase pressure on the nerve or muscle.

A missing pulse is a pulse that is absent or cannot be detected, even with firm pressure. It indicates a complete blockage of blood flow, and may be caused by conditions such as arterial occlusion, embolism, or trauma.

Light pressure applied to pulse is not a documentation of the pulse quality, but a description of the technique used to palpate the pulse.

Is not indicated for this client and does not address his pain issue. Herpes zoster does not affect the respiratory system and does not cause hypoxia or dyspnea.

Is not a priority for this client and may not have an immediate effect on his pain. Antiviral medication can help reduce the duration and severity of Herpes zoster, but it does not provide analgesia.

Is not a priority for this client and may delay his pain relief. The PN should notify the nursing supervisor only if the prescribed analgesic is ineffective or causes adverse effects.

Hyperactive bowel sounds on assessment may indicate increased peristalsis or bowel obstruction, but they are not related to the client's symptoms or NG suctioning.

Hypoactive bowel sounds on assessment may indicate decreased peristalsis or ileus, which are expected after a bowel surgery and do not require immediate intervention

Regular heart rate of 100 beats per minute on telemetry may indicate tachycardia, which can have various causes, but it is not as concerning as PVCs in this context.

Instructing a UAP to stay with the client may not be effective or safe, as the UAP may not have the skills or training to handle an agitated client.

Notifying the client's healthcare provider is not a priority action, as it does not address the immediate safety of the client and others

Administering a PRN medication for agitation may be indicated, but it is not the first action. The PN should try non- pharmacological interventions first, unless there is an imminent risk of harm.

Is not a high priority task and can be done later or delegated to another staff member.

Is not a high priority task and can be done later or delegated to another staff member.

Is not a high priority task and can be done later or delegated to another staff member.