A nurse is caring for a client who is 4 hours postoperative following a total knee arthroplasty. The client reports a pain level of 3 on a scale from 0 to 10. Which of the following nonpharmacological pain management therapies should the nurse recommend?
Attach a transcutaneous electrical nerve stimulation unit around the incision.
Assist the client for a walk in the hallway.
Apply lidocaine gel around the incision.
Place a cold pack over the incision.
The Correct Answer is D
Choice A reason: TENS units are effective for chronic pain but less practical 4 hours post-knee arthroplasty due to incision sensitivity; cold packs reduce swelling. Assuming TENS is ideal risks discomfort, critical to avoid in early postoperative pain management, ensuring comfort in acute recovery phases.
Choice B reason: Walking 4 hours post-knee arthroplasty is premature, risking strain or bleeding; cold packs are safer. Assuming walking is appropriate risks complications, critical to prevent in early postoperative care, ensuring pain relief and surgical site protection in clients recovering from knee surgery.
Choice C reason: Lidocaine gel is pharmacological, not nonpharmacological, and inappropriate near fresh incisions; cold packs are correct. Assuming gel is nonpharmacological risks misapplication, potentially causing irritation, critical to avoid in ensuring safe, nonpharmacological pain relief in early post-knee arthroplasty recovery.
Choice D reason: Placing a cold pack reduces swelling and pain 4 hours post-knee arthroplasty, a safe nonpharmacological therapy promoting comfort. This is critical for early recovery, minimizing inflammation, supporting healing, and ensuring effective pain management without medications in clients post-total knee arthroplasty.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Checking IV pump cords for fraying ensures electrical safety, preventing shocks or malfunctions, critical for client and staff safety. This routine inspection is essential for equipment reliability, supporting safe infusion delivery, and adhering to hospital safety protocols in managing IV therapy for clients.
Choice B reason: Removing the safety inspection sticker is inappropriate; it verifies equipment safety. Checking cords is correct. Assuming sticker removal is needed risks using unverified equipment, potentially causing malfunctions, critical to avoid in ensuring safe IV pump operation for client infusions.
Choice C reason: Grasping the cord to unplug risks damage or shock; the plug should be held. Checking cords is priority. Assuming cord grasping is safe risks electrical hazards, critical to prevent in ensuring safe handling and operation of IV pumps in client care settings.
Choice D reason: Two-prong outlets are outdated; medical equipment requires three-prong grounded outlets. Checking cords is key. Assuming two-prong outlets are safe risks electrical hazards, critical to avoid in ensuring proper IV pump function and safety for clients receiving infusions in healthcare settings.
Correct Answer is D
Explanation
Choice A reason: Smallpox vaccination is not routine due to eradication; disaster preparedness involves drills. Assuming vaccination is relevant risks misaligned priorities, diverting resources from practical preparedness, critical to avoid in ensuring nurses contribute effectively to community readiness for various disaster scenarios.
Choice B reason: Quarantine for anthrax is specific and reactive, not a primary preparedness activity; drills are broader. Assuming quarantine planning is key risks neglecting comprehensive disaster training, critical to prevent in ensuring nurses are prepared for diverse emergencies through community mock events.
Choice C reason: Assessing disaster types and scopes is typically administrative, not a nurse’s primary role; drills are practical. Assuming assessment is the focus risks overlooking hands-on preparedness, critical to avoid in ensuring nurses gain skills through community drills for effective disaster response.
Choice D reason: Participating in community drills and mock events prepares nurses for disaster response, enhancing skills in triage and coordination, critical for effective emergency management. This ensures readiness, improves response efficiency, and supports community safety, essential for nurses in disaster preparedness roles across various scenarios.
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