A home health nurse is planning to use nonpharmacological pain relief measures for a client who has severe chronic back pain. Which of the following pain management guidelines should the nurse use?
Discontinue opioids before trying nonpharmacological methods of pain relief.
Pain relief from the use of heat and cold continues for several hours after removal of the stimulus.
Use imagery with clients who have difficulty with focus and concentration.
Distraction changes the client's perception of pain, but it does not affect the cause.
The Correct Answer is D
A. Discontinue opioids before trying nonpharmacological methods of pain relief: Nonpharmacological interventions can be used alongside opioids to enhance pain relief. Abruptly discontinuing opioids can lead to withdrawal symptoms and inadequate pain control.
B. Pain relief from the use of heat and cold continues for several hours after removal of the stimulus: While heat and cold therapy can provide temporary relief, their effects typically last for a short duration, usually around 15 to 30 minutes after removal.
C. Use imagery with clients who have difficulty with focus and concentration: Guided imagery requires cognitive focus and the ability to concentrate. Clients with impaired attention may struggle to benefit from this technique.
D. Distraction changes the client's perception of pain, but it does not affect the cause: Distraction techniques, such as music or conversation, help shift the client's attention away from pain, altering perception but not addressing the underlying pathology.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A,B,C"}}
Explanation
Sickle Cell Disease:
• Fatigue
Iron Deficiency Anemia:
• Ferritin level
• Fatigue
• Orthostatic hypotension
Pernicious Anemia:
• Vitamin B12 level
• Fatigue
Rationale:
• Vitamin B12 level: A decreased vitamin B12 level is characteristic of pernicious anemia, which results from impaired absorption of vitamin B12 due to intrinsic factor deficiency.
• Orthostatic hypotension: A drop in blood pressure upon standing is commonly seen in iron deficiency anemia due to reduced oxygen-carrying capacity and inadequate perfusion.
• Ferritin level: A low ferritin level indicates depleted iron stores, which is a hallmark of iron deficiency anemia.
• Fatigue: Fatigue is a common symptom in all three conditions due to reduced oxygen delivery to tissues. In sickle cell disease, fatigue results from chronic hemolysis and vaso-occlusive episodes. In iron deficiency anemia, it is caused by insufficient hemoglobin production. In pernicious anemia, fatigue results from ineffective erythropoiesis due to vitamin B12 deficiency.
Correct Answer is C
Explanation
A. "Eat a light meal 1 hour before bedtime.": Eating before bedtime increases the risk of acid reflux because lying down soon after eating allows stomach contents to flow back into the esophagus. It is recommended to avoid eating at least 2 to 3 hours before lying down.
B. "Lie down for 30 minutes after each meal.": Lying down after meals promotes reflux by reducing the effect of gravity in keeping stomach contents in place. Instead, clients should remain upright for at least 2 hours after eating to minimize symptoms.
C. "Sleep with the head of your bed elevated 6 inches.": Elevating the head of the bed helps prevent stomach acid from flowing back into the esophagus by using gravity to reduce reflux symptoms. This is a well-established lifestyle modification for GERD management.
D. "Increase your caloric intake by 250 calories per day.": Increasing caloric intake is not a recommended intervention for GERD. Excess weight can worsen symptoms by increasing intra-abdominal pressure, so weight management is often advised for clients with GERD.
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