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 C

Choice A rationale:

Acupuncture is a form of alternative medicine that involves inserting thin needles into specific points on the body to relieve pain. While acupuncture can be used for pain management, it is not initiated by the nurse; rather, it is performed by a trained acupuncture practitioner. The client's statement indicates a misunderstanding of the role of the nurse in pain management.

Choice B rationale:

Biofeedback is a technique that teaches individuals how to control physiological processes to improve physical and mental health. While it can be useful for pain management, the nurse does not typically initiate biofeedback sessions. Biofeedback is usually administered by a trained therapist or practitioner, not the nurse.

Choice C rationale:

Transcutaneous electrical nerve stimulator (TENS) is a nonpharmacological pain management technique that uses low-voltage electrical currents to relieve pain. TENS units are portable devices that the client can use independently during labor to alleviate pelvic pressure and discomfort. The client's statement demonstrates an accurate understanding of this pain management option.

Choice D rationale:

Using an ultrasound picture as a focal point during contractions is a personal coping mechanism that some individuals find helpful during labor. However, it is not a technique initiated or controlled by the nurse. This choice indicates the client's personal preference rather than an understanding of the nurse's role in pain management.

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Correct Answer is D,C,B,A

Explanation

In the event of a fire, the nurse should prioritize safety and follow the facility’s emergency protocols, which typically align with the “RACE” acronym: Rescue: d. Transport the client to another area of the nursing unit. Ensure the client is safe from immediate danger. Alarm: c. Activate the facility’s fire alarm system. Alert others in the facility by activating the fire alarm. Confine: b. Close all nearby windows and doors. Prevent the spread of fire by closing doors and windows. Extinguish: a. Use the unit’s fire extinguisher to attempt to put out the fire. If it’s safe to do so, attempt to extinguish the fire using a fire extinguisher. Remember, the safety of the client and the nurse is the top priority. If the fire is too large or the situation too dangerous, the nurse should evacuate and wait for the fire department to handle the situation. Always follow the specific procedures of your healthcare facility.

A. Wear a face shield prior to entering the client's room. B. Place a mask on the client prior to transport. C. Use an alcohol-based hand rub following client care. D. Remove the protective gown while in the client's room.

Correct Answer is D

Explanation

The correct answer isChoice D, remove the protective gown while in the client’s room.

Choice A rationale: Wearing a face shield is not specifically required for Clostridium difficile infection (CDI) precautions. CDI is primarily spread through the fecal-oral route, and while a face shield could provide protection against splashes during procedures that might generate them, it is not a standard precaution for entering the room of a patient with CDI.

Choice B rationale: Placing a mask on the client during transport is not a standard precaution for CDI. While it is important to prevent the spread of infection, CDI is not transmitted through the respiratory route, so a mask for the client would not be necessary in this context.

Choice C rationale: Using an alcohol-based hand rub is generally recommended for hand hygiene. However, for CDI, alcohol-based hand rubs are not effective against C. difficile spores. The Centers for Disease Control and Prevention (CDC) recommends washing hands with soap and water after caring for patients with CDI to physically remove the spores from the hands.

Choice D rationale: Removing the protective gown while still in the client’s room is the correct action to prevent the spread of contamination. Gowns should be removed before leaving the patient’s room to avoid dispersing contaminants to other areas of the healthcare facility.

Infection control for CDI involves several specific actions due to the resilience of C. difficile spores. These spores can survive on surfaces for a long time and are resistant to many common disinfectants, which is why environmental cleaning and disinfection with agents effective against C. difficile, such as bleach-based products, are crucial. Additionally, healthcare workers should use gloves and gowns when entering the rooms of patients with CDI and should ensure that these are disposed of correctly after use.

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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?