A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?
Instruct the client to take deep, rhythmic breaths.
Encourage the client to apply a heating pad for 2 hr at a time.
Remove distractions from the client's room.
Apply an ice pack to the client's back for 1 hr.
The Correct Answer is A
A. Deep breathing is a relaxation technique that can help reduce pain by increasing oxygen delivery, decreasing muscle tension, and promoting a sense of calmness. The nurse should instruct the client to breathe slowly and deeply through the nose and exhale through the mouth.
B. Heat therapy may provide relief for muscle-related back pain but should not be applied for prolonged periods as it may cause tissue damage.
C. Minimizing environmental stimuli can help the client focus on relaxation techniques and alleviate pain perception but is not as effective as deep breathing.
D. Ice therapy is typically used for acute pain or inflammation and may not be appropriate for mild, ongoing back pain.
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Related Questions
Correct Answer is C
Explanation
A. While this technique can sometimes be helpful, it's not the first-line intervention for postoperative urinary retention. Encouraging fluids is a more fundamental step.
B. Lying supine may make it more difficult for the client to void. Sitting upright or ambulating to the bathroom may be more effective.
C. Encouraging fluids helps maintain adequate urine output, which is essential for preventing urinary retention after surgery. Dehydration can worsen the difficulty voiding.
D. Catheterization should be considered only after other interventions to promote voiding have been attempted and failed, as it carries the risk of infection and discomfort.
Correct Answer is B
Explanation
A. Disconnecting the drainage tube can introduce bacteria and increase the risk of infection.
B. Maintaining the collection bag below the level of the bladder prevents backflow of urine and reduces the risk of infection.
C. Catheter size selection is based on individual client factors and is not directly related to infection prevention.
D. Allowing the drainage bag to overfill increases the risk of backflow and infection.
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