A client complains of nausea during a physical assessment. What is the first thing the nurse should do to distract the client's attention from this unpleasant sensation?
A) Encourage the client to move and be active.
B) Make negative comments about the food.
C) Leave the client to provide privacy.
D) Assist the client in taking deep breaths.
D
Feedback:
In order to distract the client's attention from his or her nausea, the nurse should assist the client in taking deep breaths. The nurse should limit the client's movement and activities, as movement may shift gastrointestinal structures and their contents, intensifying the stimulation of the vomiting center. The nurse should avoid making negative comments about the food, as verbal comments create visual images that may cause psychogenic stimulation of the vomiting center. Providing privacy does not resolve the client's problem.
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