A patient is receiving an ice massage for relief of muscle spasms in the neck.
The patient complains that the ice is making the pain worse.
Most helpful response from the nurse would be:.
"I will go get an ice pack to place on your neck.”.
"I will stop these cold applications.
"The alteration of hot and cold application is very helpful for your spasms.”.
"I know it is uncomfortable right now, but it will get better in a few minutes.”.
The Correct Answer is B
Choice A rationale:
Offering an ice pack to place on the neck would not be an appropriate response in this situation. The patient has already complained that the ice massage is making the pain worse, so providing additional cold application may exacerbate their discomfort.
Choice B rationale:
The most helpful response in this scenario is to acknowledge the patient's discomfort and stop the cold application. Not everyone responds positively to cold therapy, and it's essential to respect the patient's feedback and provide alternative methods for pain relief.
Choice C rationale:
Alternating hot and cold applications may be helpful for some patients, but in this case, the patient has already expressed that the ice massage is exacerbating their pain. Suggesting this approach without addressing the patient's immediate concern is not appropriate.
Choice D rationale:
While it's true that the discomfort from the ice massage may subside in a few minutes, it's important to prioritize the patient's comfort and address their pain immediately. Continuing an intervention that is causing increased pain is not in the patient's best interest.
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 D
Explanation
Choice A rationale:
Bringing a newspaper or deck of cards does not directly relate to guided imagery, which is a technique used to help patients manage pain through visualization. It's important to provide interventions that align with the patient's expressed preference and pain management goals.
Choice B rationale:
Finding a focal point in the room is not directly related to guided imagery. While it may be helpful for relaxation in some cases, it's not a specific technique for guiding a patient through visualization to manage pain.
Choice C rationale:
Obtaining skin lotion and a towel for a back rub is not related to guided imagery, and it assumes the patient's preference without considering the patient's previously mentioned benefit from guided imagery.
Choice D rationale:
Reading from a script that helps the patient visualize a restful place aligns with the practice of guided imagery. This technique can be effective in helping patients manage pain by redirecting their focus and promoting relaxation. It's a suitable intervention based on the patient's past experience and preferences. .
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