Which of the following should the nurse teach the client to avoid when taking chlorpromazine HCL (Thorazine)?

Correct Answer: A

Rationale: Chlorpromazine causes photosensitivity; sunlight avoidance prevents skin reactions.

Correct Answer: C

Rationale: Respiratory rate is a critical vital sign that reflects how well a patient's body is oxygenating and removing carbon dioxide, key components of basic physiological functioning. It directly indicates the efficiency of the respiratory system, which is essential for life. Pain level, while important for comfort, is subjective and not a direct measure of physiological function. Skin color can provide clues about circulation or oxygenation but is less specific and quantifiable than respiratory rate. Dietary preferences are unrelated to immediate physiological assessment, as they pertain to nutrition rather than real-time bodily function. Nurses monitor respiratory rate to detect distress or deterioration quickly, making it a fundamental metric in patient care. Understanding its significance ensures timely interventions, especially in emergencies where breathing is compromised.

Correct Answer: D

Rationale: Providing privacy and explaining the procedure when using a bedpan upholds the patient's dignity by respecting their autonomy and reducing embarrassment. This involves using curtains, closing doors, and communicating clearly to ensure comfort and consent. Leaving the patient alone risks safety and neglects emotional support, undermining dignity. Using the bedpan without consent violates patient rights and trust. Rushing prioritizes efficiency over sensitivity, potentially causing discomfort or shame. Dignity is a core nursing value explaining the process empowers the patient, while privacy shields them from exposure, aligning with ethical care standards and fostering a respectful environment.

Correct Answer: C

Rationale: Using the legs to lift while keeping the back straight promotes proper body mechanics by distributing weight to the stronger leg muscles, minimizing spinal strain and injury risk. Bending from the waist overloads the back, inviting disc damage. Twisting while lifting compounds this risk, destabilizing the spine. Fully extended arms reduce control and leverage, straining shoulders and back. Nurses apply this technique to protect themselves and patients during transfers, ensuring safety and longevity in physically demanding roles leg power, not back bending, is the key to sustainable lifting.

Correct Answer: C

Rationale: Positioning an unconscious patient upright and elevated during feeding prevents aspiration by aligning the esophagus for gravity-assisted swallowing, reducing the chance of food entering the airway. Large amounts at once overwhelm reflexes, heightening risk. Feeding while flat allows reflux into the lungs, a common aspiration cause. Rushing increases errors and choking hazards. Nurses use this position often 30-45 degrees to mimic natural eating posture, safeguarding respiratory health in patients lacking protective cough reflexes, a critical care priority.