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Questions 149

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Question 1 of 5

The nurse working in an outpatient pain clinic has the opportunity to teach a client with chronic back pain about nonpharmacological pain management. Which of the following would be most appropriate for the nurse to include when teaching? Select all that apply.

Correct Answer: A, B, C, D

Rationale: Music, therapeutic massage, stretching exercises, and relaxation are all evidence-based nonpharmacological methods to manage chronic pain.

Question 2 of 5

The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

Correct Answer: B

Rationale: Diazoxide can cause hyperglycemia, so monitoring blood glucose levels is essential during administration.

Question 3 of 5

A client with pancreatitis has been transferred to the intensive care unit. The nurse assesses a pulmonary arterial wedge pressure (PAWP) of 14 mmHg. Based on this finding, the nurse would want to further assess for:

Correct Answer: B

Rationale: A PAWP of 14 mmHg is slightly elevated, suggesting possible fluid overload, which could lead to pulmonary edema, indicated by rales on chest auscultation.

Question 4 of 5

A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:

Correct Answer: A

Rationale: Hypothyroidism poses the least risk of infection or complications, making it the safest roommate choice for a surgical client.

Question 5 of 5

A client with an esophageal tamponade develops symptoms of respiratory distress, including inspiratory stridor. The nurse should give priority to:

Correct Answer: B

Rationale: Respiratory distress with stridor suggests airway obstruction from the tamponade, requiring immediate tube removal after deflation to restore airway patency.

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