A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

Massaging the client's back

Administering analgesic medications

Placing the client on supine position.

Reposition onto her left side

Answer and Explanation

The Correct Answer is A

a.   Massaging the client's back can help to close the "gate" for pain signals to reach the brain according to the Gate control theory of pain.
b.   Administering analgesic medications addresses pain but does not directly apply the principles of the Gate control theory.
c.   Placing the client on a supine position does not specifically address pain control according to the Gate control theory.
d.   Repositioning onto her left side may be done for fetal well-being but does not directly apply the principles of the Gate control theory.

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Correct Answer is C

Explanation

a. This is not where fetal heart tones are typically auscultated.
b. This is not where fetal heart tones are typically auscultated.
c. The round, firm, moveable part in the fundus of the uterus is most likely the fetal head, and the long, smooth surface on the right side is most likely the fetal back. The fetal heart tones are best heard over the fetal back, which is closest to the maternal abdomen. Therefore, the nurse should expect to auscultate fetal heart tones in the right upper quadrant.
d. This is not where fetal heart tones are typically auscultated.

A. Continuous fetal monitoring B. Obtain a daily weight. C. c Assess deep tendon reflexes every hour. D. Ambulate as tolerated

Correct Answer is D

Explanation

a. This is an appropriate order for a client with severe preeclampsia to monitor fetal well-being.
b. This is an appropriate order for a client with severe preeclampsia to monitor fluid status.
c. This is an appropriate order for a client with severe preeclampsia to monitor for signs of worsening preeclampsia.
d. This order may not be appropriate for a client with severe preeclampsia who may be at risk for falls or other complications. The nurse should clarify this order with the provider.

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A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

Correct Answer is D

Explanation

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