A nurse is assisting with the care of a client who is in latent labor. Which of the following nursing actions reflects the application of the gate control theory of pain?

Massaging the client's back

Administering prescribed analgesic medication

Turning the client onto her left side

Encouraging the client to rest between contractions

Answer and Explanation

The Correct Answer is A

A. Massaging the client's back – Correct; gate control theory states that non-painful stimuli (e.g., massage, heat, cold) can block pain signals from reaching the brain.

B. Administering prescribed analgesic medication – Incorrect; this is pharmacologic pain relief, not part of gate control theory.

C. Turning the client onto her left side – Incorrect; this improves circulation but does not block pain signals.

D. Encouraging the client to rest between contractions – Incorrect; rest is important but does not directly affect pain perception.

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Correct Answer is D

Explanation

A. Encourage the client to nurse more frequently so her milk will come in. – Incorrect; milk production typically begins between days 2-5 postpartum, not 14 hours postpartum.

B. Report the client's temperature elevation. – Incorrect; a temperature of 37.7°C (100°F) is within normal postpartum range due to dehydration and hormonal shifts.

C. Increase IV fluids. – Incorrect; IV fluids are not needed unless dehydration is suspected.

D. Ask the client to empty her bladder. – Correct; a fundus deviated to the right suggests a full bladder, which can impede uterine involution and increase postpartum hemorrhage risk.

A. The client's height B. The safe dosage range C. The client's age D. The client's gender

Correct Answer is B

Explanation

A. The client's height – Incorrect; medication dosages in pediatrics are based primarily on weight (mg/kg), not height.

B. The safe dosage range – Correct; the nurse must verify that the prescribed dose falls within the recommended safe range to prevent underdosing or overdosing.

C. The client's age – Incorrect; while age may influence dosing, weight-based calculations are more accurate.

D. The client's gender – Incorrect; gender does not typically affect pediatric dosing calculations.

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A nurse is assisting with the care of a client who is in latent labor. Which of the following nursing actions reflects the application of the gate control theory of pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should the nurse perform?

Correct Answer is D

Explanation

A medication is prescribed based on a pediatric patient's weight. What should the nurse consider when calculating the dosage?

Correct Answer is B

Explanation

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