A client asks if a nurse can assist with non-pharmacological pain management techniques. In reinforcing education to the client, which of the following should the practical nurse include that require specific training and certification to perform?
Counterpressure
Cold therapy
Acupuncture
Effleurage
The Correct Answer is C
A. Counterpressure – Incorrect; nurses can perform counterpressure to help with back labor pain.
B. Cold therapy – Incorrect; ice packs or cold compresses can be applied without certification.
C. Acupuncture – Correct; acupuncture requires specialized training and certification.
D. Effleurage – Incorrect; light massage techniques can be taught and performed by nurses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Encourage the client to nurse more frequently so her milk will come in. – Incorrect; milk production typically begins between days 2-5 postpartum, not 14 hours postpartum.
B. Report the client's temperature elevation. – Incorrect; a temperature of 37.7°C (100°F) is within normal postpartum range due to dehydration and hormonal shifts.
C. Increase IV fluids. – Incorrect; IV fluids are not needed unless dehydration is suspected.
D. Ask the client to empty her bladder. – Correct; a fundus deviated to the right suggests a full bladder, which can impede uterine involution and increase postpartum hemorrhage risk.
Correct Answer is C
Explanation
A. Feel for a full bladder. – Incorrect; a full bladder can contribute to postpartum bleeding, but checking fundal firmness should be prioritized first.
B. Request the provider perform a vaginal examination. – Incorrect; the nurse should assess the fundus and attempt interventions first before calling the provider.
C. Check the client’s fundus. – Correct; the priority action is to assess the fundus for firmness, as a boggy uterus is the most common cause of postpartum hemorrhage.
D. Measure the client’s vital signs. – Incorrect; while vital signs are important, assessing fundal tone and initiating interventions come first.
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