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Wet compresses may help soothe ruptured vesicles and reduce discomfort, but they do not address the underlying viral replication. This is a supportive measure, not a priority intervention.

Narcotic analgesics may be necessary for pain control, but they do not treat the cause of the symptoms. Pain management is important but secondary to antiviral therapy.

Contact precautions are essential to prevent transmission, especially to immuno-compromised individuals, but they are not the most immediate clinical priority compared to initiating antiviral therapy.

Warming the feet may improve comfort but does not address the critical concern of compromised perfusion.

Evaluating for pitting edema provides useful data but is not the priority when pulses are absent.

Elevating the extremities may help reduce edema but could worsen ischemia if perfusion is compromised.

Red blood cell count may reflect anemia but does not directly explain bleeding manifestations like petechiae.

White blood cell count is more relevant to infection or inflammation, not bleeding tendencies.

Hemoglobin levels may be affected by chronic bleeding but are not the primary indicator for acute petechiae and ecchymosis.

Sitting forward with arms supported is the correct position for thoracentesis as it expands intercostal spaces and facilitates access to the pleural space.

Limiting activity post-procedure is appropriate to reduce strain and allow healing at the puncture site.

A stinging sensation during needle insertion is expected and should be anticipated; local anesthesia helps minimize discomfort.

Documenting and monitoring are important, but delaying intervention in the presence of signs of compartment syndrome can lead to irreversible damage.

Releasing traction without provider direction may be unsafe and is not the nurse’s first independent action.

Administering pain medication may mask symptoms and delay necessary treatment. Pain unrelieved by medication is a red flag for ischemia.

Albumin levels are not directly affected by hydrocortisone therapy and are not a priority in monitoring Addison’s disease management.

Osmolarity may be indirectly influenced by adrenal hormones, but it is not the most specific or sensitive marker for hydrocortisone effects.

Platelet levels are not typically impacted by hydrocortisone in the context of Addison’s disease and are not a priority for routine monitoring.

A soft diet may reduce mechanical irritation but does not address the underlying inflammation or infection. It is supportive but not the initial priority.

Topical analgesics may relieve pain but do not prevent worsening of mucositis or promote healing.

Swabs can be abrasive and may worsen mucosal injury, especially in severe mucositis. Gentle cleansing with non-irritating solutions is preferred.

Education on narcotic dependency is important but not the priority when the client is experiencing severe pain. Immediate relief is the focus.

Waiting until pain reaches a score of 10 before giving maximum dosage is inappropriate and may lead to unnecessary suffering. Pain should be managed proactively.

Alternating IV and IM routes may be useful in some contexts but does not enhance analgesic efficacy or address multimodal pain pathways.

Limiting wrist flexion may help prevent repetitive strain injuries like carpal tunnel syndrome, but it does not address the vasospastic episodes characteristic of Raynaud’s syndrome.

Elevating the hands does not improve circulation in Raynaud’s and may actually reduce perfusion to the extremities.

While vitamin D has general health benefits, it does not specifically alleviate symptoms or prevent episodes of Raynaud’s syndrome.

Nuchal rigidity is more commonly associated with meningeal irritation, such as in meningitis or subarachnoid hemorrhage, rather than ischemic stroke risk.

Jugular vein distention suggests elevated central venous pressure, often seen in heart failure, not typically linked to stroke risk.

Palpable cervical lymph nodes are usually associated with infection or malignancy and do not indicate cerebrovascular risk.