IM injections of pain medication may be contraindicated for patients who:.

Have small, poorly developed muscles.

Have poor cognitive abilities.

Need short-term pain management.

Have multiple drug allergies.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
IM injections of pain medication may be contraindicated for patients who have small, poorly developed muscles. The rationale for this is that IM injections require adequate muscle mass to ensure proper absorption and distribution of the medication. If a patient has small, poorly developed muscles, the injection may not be as effective, and there's a risk of improper medication delivery, which can lead to reduced pain relief and potential complications.
Choice B rationale:
IM injections are not primarily contraindicated for patients based on their cognitive abilities. However, the patient's cognitive abilities may affect their ability to understand and follow instructions related to the injection process. It's essential for healthcare providers to ensure that the patient comprehends the procedure and can cooperate. Patients with cognitive impairments may require additional assistance or alternative methods of pain management, but it's not a direct contraindication to IM injections.
Choice C rationale:
Needing short-term pain management is not a contraindication for IM injections of pain medication. IM injections can be suitable for short-term pain relief, as they can provide relatively rapid and effective pain control. The choice of pain management method should depend on the specific circumstances and the patient's condition, but the duration of pain management needed is not a direct contraindication to IM injections.
Choice D rationale:
Having multiple drug allergies can be a concern when considering IM injections of pain medication, but it is not a direct contraindication. The healthcare provider should carefully assess the patient's allergies and select a medication that is safe and appropriate for the individual. In some cases, alternative routes of administration may be considered to avoid allergenic reactions. However, having multiple drug allergies alone does not necessarily contraindicate IM injections.

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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. .

A. offering the most rest. B. irregular respirations. C. increased heart rate. D. daytime activity.

Correct Answer is A

Explanation

Choice A rationale:

NREM (Non-Rapid Eye Movement) sleep is characterized by slow-wave sleep and is often considered restorative. It is the stage of sleep where the body repairs and regenerates tissues, and it is essential for feeling rested and rejuvenated. NREM sleep consists of three stages, with stages 3 and 4 being the deepest and most restful, also known as slow-wave sleep. These stages are essential for physical recovery.

Choice B rationale:

NREM sleep is not characterized by irregular respirations. Irregular breathing patterns are more commonly associated with certain sleep disorders, such as sleep apnea, rather than NREM sleep itself.

Choice C rationale:

NREM sleep is not characterized by increased heart rate. In fact, during NREM sleep, the body typically experiences a decrease in heart rate and blood pressure. The body's physiological functions tend to slow down during NREM sleep to promote rest and recovery.

Choice D rationale:

NREM sleep is not characterized by daytime activity. In contrast, NREM sleep occurs during the night and is a state of deep rest, during which the body is not engaged in daytime activities. It is essential for physical and mental recovery, especially after a day of activity.

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IM injections of pain medication may be contraindicated for patients who:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit.The nurse will initially:.

Correct Answer is B

Explanation

The nurse assesses a patient's sleep for NREM (non-rapid eye movement) sleep because this sleep has the characteristics of:.

Correct Answer is A

Explanation

IM injections of pain medication may be contraindicated for patients who:.

One thing the nurse would ask the patient to do to try to locate the reason for her insomnia is to:.

A patient experiencing discomfort because of severe arthritis would be described as having:

The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:.

Sleep influences memory, mood, cognitive function, secretion of various hormones, immune function, body temperature, and renal function.

A nurse assists with checking a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?

The patient with a recent abdominal incision has an abdominal binder applied. The nurse explains that this appliance helps reduce pain by:.

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting to the patient that they:.