A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

"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."

"I wish I didn't have to attach the electrodes to my skin."

"It's unfortunate that I have to be in the hospital for this treatment."

Answer and Explanation

The Correct Answer is D

A. Shaving the hair off the skin where the electrodes will be placed is correct, as it helps ensure proper contact and effectiveness of the TENS therapy.

B. Expressing hope to reduce the need for pain pills indicates the client understands the potential benefit of TENS in managing pain.

C. Wishing to avoid attaching electrodes indicates a common apprehension about the treatment but does not necessarily signify a misunderstanding of the TENS process.

D. The statement about having to be in the hospital suggests a misunderstanding since TENS is often used as an outpatient therapy and does not typically require hospitalization. This indicates the client needs further education about the treatment setting and process.

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Correct Answer is ["B","D","E"]

Explanation

A. Assessing the client every 4 hours is insufficient; the nurse should assess the client more frequently to monitor for changes in condition and risk factors for falls.

B. Placing a fall-risk identification band on the client's wrist is essential for alerting all staff to the client's fall risk, thereby promoting safety.

C. Keeping the client's room dark at night increases the risk of falls; adequate lighting should be provided to help the client navigate safely.

D. Teaching the client to use the call light encourages them to seek assistance when needed, which can help prevent falls.

E. Keeping the client's bed in the lowest position minimizes the risk of injury if the client attempts to get out of bed without assistance.

A. Observe the client before taking further action. B. Perform the Heimlich maneuver C. Slap the client on the back several times. D. Assist the client to the floor and begin mouth-to-mouth resuscitation.

Correct Answer is B

Explanation

A. Observing the client is inappropriate as they are demonstrating signs of choking and require immediate intervention.

B. Performing the Heimlich maneuver is appropriate as the guest is unable to talk, which indicates a potential airway obstruction that needs to be relieved promptly.

C. Slapping the client on the back may not be effective and could worsen the obstruction, especially since they are grasping their throat.

D. Assisting the client to the floor and beginning mouth-to-mouth resuscitation is not appropriate in this situation, as the priority is to clear the obstruction, not to provide rescue breaths.

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A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take? (Select All that Apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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