A nurse is caring for a patient experiencing acute pain following a knee injury.
The nurse is educating the patient about pain management strategies to use at home.Which of the following non-pharmacological methods of pain relief should the nurse include in their teaching?

Cognitive behavioral therapy

Intermittent ice compress

Phototherapy

Walking on a treadmill

Answer and Explanation

The Correct Answer is B

Choice A rationale

Cognitive behavioral therapy (CBT) is a type of psychological treatment that can be effective for a range of conditions, including chronic pain. However, it may not be the most suitable for acute pain management at home following a knee injury. CBT usually involves working with a trained therapist over multiple sessions, which may not be practical or immediately beneficial in this context.
Choice B rationale
Intermittent ice compress is a highly recommended non-pharmacological method for managing acute pain, especially following a knee injury. The cold temperature from the ice can help numb the area, reducing pain and inflammation. It’s a simple, cost-effective, and readily available method that can be easily applied at home.
Choice C rationale
Phototherapy, also known as light therapy, involves exposure to specific wavelengths of light using polychromatic polarised light, lasers, light-emitting diodes, fluorescent lamps, or dichroic lamps. While it has been used to treat conditions like seasonal affective disorder, skin conditions, and neonatal jaundice, its effectiveness in managing acute pain following a knee injury is not well-established.
Choice D rationale
Walking on a treadmill might not be suitable for a patient experiencing acute pain following a knee injury. Physical activity is generally beneficial for overall health and certain types of chronic pain. However, in the case of an acute knee injury, rest and immobilization are often recommended initially to allow the injured tissues to heal.

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Correct Answer is A

Explanation

Choice A rationale
Bruising over the mastoid process, also known as Battle’s sign, is a classic clinical sign of a basilar skull fracture.
Choice B rationale
Pooling of blood and edema around the eyes, or ‘raccoon eyes’, is another sign of a basilar skull fracture.
Choice C rationale
The ability to recall how the injury occurred is not directly related to the presence of a basilar skull fracture. Memory loss or confusion could be symptoms of a traumatic brain injury, but they are not specific to a basilar skull fracture.
Choice D rationale
Chvostek’s sign is a clinical sign of hypocalcemia, not a basilar skull fracture

A. Swelling of the optic nerve B. Decreasing Glasgow Coma scores C. Blood pressure of 108/76 mm Hg D. Changes to pupil size and shape E. Respiratory rate of 12/min .

Correct Answer is B

Explanation

Choice A rationale
Swelling of the optic nerve, also known as papilledema, can be a sign of increased intracranial pressure (ICP). However, it is not a direct indicator of a worsening neurological condition.
Choice B rationale
The Glasgow Coma Scale (GCS) is a clinical tool used to assess a patient’s level of consciousness and neurological functioning. A decreasing GCS score indicates a worsening neurological condition, which could be due to increasing ICP12. Therefore, a decreasing GCS score is a direct indicator of a worsening neurological condition.
Choice C rationale
A blood pressure of 108/76 mm Hg is within the normal range and does not directly indicate a worsening neurological condition. However, drastic changes in blood pressure could potentially indicate a problem.
Choice D rationale

Changes in pupil size and shape can be a sign of increased ICP, but these changes are not specific to a worsening neurological condition. They could be due to various factors, including medication effects or damage to the cranial nerves.
Choice E rationale
A respiratory rate of 12/min is within the normal range for adults. Changes in respiratory patterns could potentially indicate a worsening neurological condition, but a rate of 12/min does not directly indicate this.

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A nurse is caring for a patient experiencing acute pain following a knee injury. The nurse is educating the patient about pain management strategies to use at home.Which of the following non-pharmacological methods of pain relief should the nurse include in their teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse receives a report on a client with a basilar skull fracture. What findings should the nurse expect with this client?

Correct Answer is A

Explanation

A nurse is caring for a client who has increased intracranial pressure and has a worsening neurological condition. Which of the following cues should the nurse recognize as a worsening condition?

Correct Answer is B

Explanation

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A nurse is caring for a patient experiencing acute pain following a knee injury.
The nurse is educating the patient about pain management strategies to use at home.Which of the following non-pharmacological methods of pain relief should the nurse include in their teaching?