A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.
Which of the following statements by the client indicates the need for further teaching?

"It's unfortunate that I have to be in the hospital for this treatment.”.

"I wish I didn't have to attach the electrodes to my skin.”.

"I'll need to shave the hair off the skin where I place the electrodes.”.

"I hope I don't have to take as many pain pills.”. .

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The statement, "It's unfortunate that I have to be in the hospital for this treatment," indicates the need for further teaching. TENS therapy is often used as an outpatient treatment and does not require hospitalization. Patients typically receive instructions on how to use TENS units at home.

Choice B rationale:

The statement, "I wish I didn't have to attach the electrodes to my skin," is a common sentiment but does not necessarily indicate a need for further teaching. Attaching electrodes to the skin is a standard part of using TENS therapy, and it's essential for the treatment to be effective. Some patients may find this aspect of treatment uncomfortable or inconvenient.

Choice C rationale:

The statement, "I'll need to shave the hair off the skin where I place the electrodes," is accurate. Shaving the area where electrodes are placed can improve the contact and effectiveness of the TENS therapy. This statement does not indicate a need for further teaching but rather a good understanding of the preparation process.

Choice D rationale:

The statement, "I hope I don't have to take as many pain pills," is a positive sign that the patient understands that TENS therapy can potentially reduce the need for pain medication. It indicates a reasonable expectation for pain management and does not signal a need for further teaching. .

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Correct Answer is B

Explanation

Choice A rationale:

Offering an ice pack to place on the neck would not be an appropriate response in this situation. The patient has already complained that the ice massage is making the pain worse, so providing additional cold application may exacerbate their discomfort.

Choice B rationale:

The most helpful response in this scenario is to acknowledge the patient's discomfort and stop the cold application. Not everyone responds positively to cold therapy, and it's essential to respect the patient's feedback and provide alternative methods for pain relief.

Choice C rationale:

Alternating hot and cold applications may be helpful for some patients, but in this case, the patient has already expressed that the ice massage is exacerbating their pain. Suggesting this approach without addressing the patient's immediate concern is not appropriate.

Choice D rationale:

While it's true that the discomfort from the ice massage may subside in a few minutes, it's important to prioritize the patient's comfort and address their pain immediately. Continuing an intervention that is causing increased pain is not in the patient's best interest.

A. True B. False

Correct Answer is B

Explanation

Choice A rationale:

Sedatives and hypnotics are not typically recommended for long-term relief of sleep problems. They are more commonly used for short-term management of insomnia or acute sleep disturbances. Using these medications for an extended period can lead to tolerance, dependence, and potential side effects.

Choice B rationale:

Neuritis secondary to diabetes is not directly related to the use of sedatives and hypnotics for sleep. This choice does not affect the true or false statement about the long-term use of these medications.

Choice C rationale:

A severely sprained ankle does not impact the use of sedatives and hypnotics for sleep. This choice is not relevant to the true or false statement regarding the long-term use of these medications.

Choice D rationale:

Impaired peripheral circulation is not a determining factor for the long-term use of sedatives and hypnotics for sleep. This choice does not influence the true or false statement in question.

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A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.Which of the following statements by the client indicates the need for further teaching?

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Correct Answer is B

Explanation

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Correct Answer is B

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A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.
Which of the following statements by the client indicates the need for further teaching?