A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.
Which of the following statements by the client indicates the need for further teaching?
"It's unfortunate that I have to be in the hospital for this treatment.”.
"I wish I didn't have to attach the electrodes to my skin.”.
"I'll need to shave the hair off the skin where I place the electrodes.”.
"I hope I don't have to take as many pain pills.”. .
The Correct Answer is A
Choice A rationale:
The statement, "It's unfortunate that I have to be in the hospital for this treatment," indicates the need for further teaching. TENS therapy is often used as an outpatient treatment and does not require hospitalization. Patients typically receive instructions on how to use TENS units at home.
Choice B rationale:
The statement, "I wish I didn't have to attach the electrodes to my skin," is a common sentiment but does not necessarily indicate a need for further teaching. Attaching electrodes to the skin is a standard part of using TENS therapy, and it's essential for the treatment to be effective. Some patients may find this aspect of treatment uncomfortable or inconvenient.
Choice C rationale:
The statement, "I'll need to shave the hair off the skin where I place the electrodes," is accurate. Shaving the area where electrodes are placed can improve the contact and effectiveness of the TENS therapy. This statement does not indicate a need for further teaching but rather a good understanding of the preparation process.
Choice D rationale:
The statement, "I hope I don't have to take as many pain pills," is a positive sign that the patient understands that TENS therapy can potentially reduce the need for pain medication. It indicates a reasonable expectation for pain management and does not signal a need for further teaching. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
An elevated blood pressure is not a reliable indicator of a decrease in pain following the administration of an opioid narcotic. Blood pressure can be influenced by various factors, and it may not directly correlate with the relief of pain.
Choice B rationale:
The client being asleep is not a direct indicator of decreased pain following opioid administration. While opioids may cause drowsiness as a side effect, the absence of pain cannot be confirmed solely based on the patient's sleep state.
Choice C rationale:
An increased respiratory rate can be a reliable indicator of decreased pain following the administration of an opioid narcotic. Opioids often cause respiratory depression, so an increased respiratory rate may suggest that the patient's pain is adequately managed, as they are not experiencing excessive respiratory depression.
Choice D rationale:
Diaphoresis (excessive sweating) is not a direct indicator of decreased pain following opioid administration. Diaphoresis can be caused by various factors, including anxiety, and may not specifically reflect pain relief. .
Correct Answer is C
Explanation
Choice A rationale:
Taking a warm bath before trying to go back to sleep is a relaxation technique that may help with sleep but does not address the underlying causes of insomnia. It is more of a short-term coping strategy rather than a method for locating the reasons for the insomnia.
Choice B rationale:
Reviewing times in her life when she had no insomnia is not a practical approach to addressing the current issue of insomnia. It does not help in identifying the specific factors or triggers contributing to the patient's current sleep problems.
Choice C rationale:
Keeping a diary related to sleep and problems encountered is a practical and effective approach to identify the factors contributing to the patient's insomnia. This diary can help track patterns, such as bedtime routines, diet, stressors, and other variables that may be linked to the sleep problem. Identifying these factors can aid in developing a plan to address the specific causes of the insomnia.
Choice D rationale:
Discussing the problem with her friends may provide emotional support but is unlikely to help identify the root causes of the insomnia. Friends may offer advice or share their experiences, but a structured approach like keeping a sleep diary is more likely to yield valuable information.
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