A nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric resection.
Which of the following client statements indicates an understanding of pain control?
"I will ask for less medication to avoid addiction.”.
"I will call for pain medication as my pain becomes intolerable.”.
"I will wait for you to evaluate my pain before asking for more.”.
"I will call for pain medication before the previous dose wears off"
The Correct Answer is D
The correct answer is D. "I will call for pain medication before the previous dose wears off."
Choice A rationale:
This statement indicates a misunderstanding of pain management. Avoiding medication to prevent addiction can lead to uncontrolled pain, which can hinder recovery and increase the risk of complications.
Choice B rationale:
While this statement shows the client is aware of their pain, waiting until it becomes intolerable can result in periods of severe discomfort and potential setbacks in recovery.
Choice C rationale:
Relying on a nurse to evaluate pain before requesting medication can delay pain relief, leading to unnecessary suffering and potential complications.
Choice D rationale:
This statement indicates an understanding of proactive pain management. By requesting medication before the previous dose wears off, the client helps maintain consistent pain control, which is crucial for recovery and preventing pain escalation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Magnesium is not typically considered a natural supplement that enhances sleep. While magnesium is an essential mineral for overall health, it is not commonly used as a sleep aid.
Choice B rationale:
Calcium is also not commonly used as a natural supplement to enhance sleep. While calcium is important for bone health and various physiological processes, it is not primarily associated with improving sleep.
Choice C rationale:
Oil of lavender is known for its calming and soothing properties, and it can have a relaxing effect. However, it is not as commonly used or as effective as melatonin for improving sleep. Lavender oil is more often used for its aromatherapy benefits.
Correct Answer is B
Explanation
Choice A rationale:
Placing electrodes on all four extremities is not the initial step in using a Transcutaneous Electrical Nerve Stimulator (TENS) unit. It may not be necessary for the specific pain management needs of the patient and can be uncomfortable or impractical.
Choice B rationale:
This is the correct initial step when starting TENS treatment. The nurse should adjust the settings to a level below the threshold at which the patient feels a tingling sensation. This ensures that the treatment is comfortable and safe for the patient. The goal is to provide pain relief, not to induce discomfort.
Choice C rationale:
Turning the unit on before attaching it to the patient is not advisable. It's essential to connect the electrodes to the patient first and then turn on the TENS unit. This sequence helps prevent accidental electrical stimulation before the device is properly set up.
Choice D rationale:
Applying conductive jelly to uncoated electrodes is a step in preparing the electrodes for use, but it should be done after attaching the electrodes to the patient's skin. This choice does not address the initial step in TENS treatment, which is setting the stimulation level. .
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