A nurse is teaching a client who is to receive transcutaneous electrical nerve stimulation (TENS) for pain management. The nurse should inform the client that TENS relieves pain by

providing distraction from the pain.

eliciting a relaxation response.

modulating the transmission of the pain impulse.

promoting increased circulation to the painful area.

Answer and Explanation

The Correct Answer is C

A. TENS does not primarily work by providing distraction from pain.

B.   While relaxation may be a secondary effect, the primary mechanism of TENS is not to elicit a relaxation response.
C.   TENS works by modulating the transmission of the pain impulse, disrupting pain signals from reaching the brain.
D.   TENS does not primarily work by promoting increased circulation to the painful area.

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Correct Answer is D

Explanation

A. The two-point gait requires partial weight-bearing on both legs, making it unsuitable for a client who can only bear weight on one leg.
B. The four-point gait also requires weight-bearing on both legs and provides maximum stability, but it is not appropriate for a client who can bear weight on only one leg.
C. The swing-through gait is generally used by clients with paralysis of the legs or for those who need to use both legs minimally while moving with crutches. It is not the most suitable option for a client with weight-bearing restrictions on one leg.
D. The three-point gait is the correct technique for a client who can bear weight on only one leg. In this gait, both crutches and the affected leg are moved forward together, followed by the weight-bearing leg. This method allows the client to ambulate safely while maintaining the non-weight-bearing leg off the ground.

A. "I will wear cotton socks with my shoes." B. "I will cut my nails so they are rounded at the corners." C. "I will use a mirror to inspect my feet daily." D. "I will buy my shoes late in the afternoon."

Correct Answer is B

Explanation

A. Wearing cotton socks is appropriate as they allow for better air circulation.
B. Cutting nails rounded at the corners can lead to ingrown toenails, which is not recommended for individuals with diabetes.
C. Using a mirror for daily foot inspection is a good practice to identify any issues early.

D. Buying shoes late in the afternoon accounts for any swelling that may occur during the day, which is a suitable practice for individuals with diabetes.

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A nurse is teaching a client who is to receive transcutaneous electrical nerve stimulation (TENS) for pain management. The nurse should inform the client that TENS relieves pain by

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who can bear weight on only one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct this client to use?

Correct Answer is D

Explanation

A nurse is caring for a client who has diabetes mellitus. Which of the following statements by the client indicates a need for further teaching about diabetic foot care?

Correct Answer is B

Explanation

A nurse is preparing a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?

A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?

A nurse is planning to provide instruction to a group of older adult clients about measures to promote health and prevent disease. Which of the following information should the nurse include in the teaching? (Select all that apply.)

A nurse is assessing a client who presents to the emergency department with reports of right lower quadrant pain, nausea, and vomiting for the past 2 days. Which of the following actions should the nurse take first?

A parish nurse is developing a program of educational sessions to meet the needs of the older adults in the congregation. Which of the following is the best approach to enhance development of suitable programs?

A nurse is evaluating a client's use of crutches. Which of the following observations indicates safe use of this equipment?

A nurse is teaching an assistive personnel (AP) how to obtain a capillary finger stick blood sample. Which of the following actions by the AP requires the nurse to intervene?

A nurse is caring for four clients. Which of the following clients is at the greatest risk for falling?