A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor.
Which of the following statements by the client indicates an understanding of the teaching?

"The nurse will initiate acupuncture when I arrive at the unit."

"My nurse can teach me biofeedback at the beginning of labor."

"A transcutaneous electrical nerve stimulator will help with pelvic pressure."

"I can use my ultrasound picture as a focal point during contractions." .

Answer and Explanation

The Correct Answer is D

The correct answer is Choice D.

Choice A rationale: Acupuncture is typically administered by a trained acupuncturist, not by the nurse. It is not commonly initiated upon arrival at the labor unit.

Choice B rationale: Biofeedback is a technique that usually requires prior training and practice; it is not typically taught for the first time at the beginning of labor.

Choice C rationale: Transcutaneous electrical nerve stimulation (TENS) can help manage back pain during labor but is not specifically used for pelvic pressure.

Choice D rationale: Using an ultrasound picture as a focal point during contractions is a common nonpharmacological pain management technique. Focal points help the client concentrate and manage pain through visualization and distraction.

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Correct Answer is D

Explanation

Choice A rationale:

Asking about past coping mechanisms can provide valuable information, but in this situation, where the client is expressing thoughts of hopelessness, it's crucial to assess the immediate risk of suicide. Therefore, this choice is not the best option in this context.

Choice B rationale:

Involving significant others in the client's care is important, but it doesn't address the client's current emotional state and suicidal ideation. This choice does not take priority in this scenario.

Choice C rationale:

While exploring family history, including suicide, is relevant, it's not the first question to ask. Assessing the client's current thoughts and feelings should be the priority before delving into family history. Therefore, this choice is not the best option at this moment.

Choice D rationale:

(Correct Choice) This is the most appropriate question to ask first. Assessing the client's suicidal ideation is crucial for ensuring their safety. If the client expresses suicidal thoughts, the nurse can take immediate steps to keep the client safe, such as involving a mental health professional or initiating a suicide risk assessment.

A. Choose a vein that is palpable and straight. B. Select a site on the client's dominant arm. C. Apply a tourniquet below the venipuncture site. D. Elevate the client's arm prior to insertion.

Correct Answer is A

Explanation

Choice A rationale:

Choosing a palpable and straight vein is essential for a successful IV insertion. A vein that is easily palpable and visible helps ensure that the catheter can be inserted smoothly, reducing the risk of complications such as infiltration or extravasation. Additionally, selecting a straight vein makes the insertion process easier and less painful for the client.

Choice B rationale:

Selecting a site on the client's dominant arm is not a requirement for IV insertion. The choice of arm depends on the individual client's condition, vein accessibility, and the healthcare provider's preference. Both arms can be used for IV insertion based on the client's specific needs.

Choice C rationale:

Applying a tourniquet below the venipuncture site helps distend the veins, making them more visible and accessible. This technique can aid in locating suitable veins for insertion. However, it is crucial to release the tourniquet once the vein is accessed to prevent complications such as thrombosis or hematoma.

Choice D rationale:

Elevating the client's arm prior to insertion can cause veins to collapse, making it more challenging to insert the IV catheter. Gravity can assist in distending the veins, so the arm should be positioned at or slightly below the level of the heart during IV insertion to maintain adequate blood flow.

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A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor. Which of the following statements by the client indicates an understanding of the teaching?

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A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor.
Which of the following statements by the client indicates an understanding of the teaching?