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 C

Explanation

Choice A rationale:
Endorphins are capable of reducing pain in both physiological and psychological conditions, so this statement is inaccurate.
Choice B rationale:
Endorphins are often described as natural morphine-like compounds, but they are not enzymes. They are neuropeptides produced by the body, which bind to opioid receptors and act as natural painkillers.
Choice D rationale:
Endorphins can reduce pain in response to various stressors, whether they are physiological or psychological. They play a role in the body's response to stress and pain. Therefore, this statement is not accurate.

A. Bradycardia. B. Decreased respiratory rate. C. Hypoglycemia. D. Hypertension.

Correct Answer is D

Explanation

Choice A rationale:

Bradycardia, a slow heart rate, is not typically associated with acute pain. In response to pain, the body usually experiences increased heart rate (tachycardia) as part of the stress response.

Choice B rationale:

A decreased respiratory rate is not an expected finding in response to acute pain. Acute pain often leads to increased respiratory rate as the body attempts to manage the pain and stress.

Choice C rationale:

Hypoglycemia, a low blood sugar level, is not a typical physiological response to acute pain. Acute pain is more likely to induce a release of stress hormones, such as cortisol and adrenaline, which can lead to increased blood sugar levels.

Choice D rationale:

Hypertension, or elevated blood pressure, is an expected physiological response to acute pain. Pain activates the body's stress response, leading to increased sympathetic nervous system activity, which can cause vasoconstriction and increased blood pressure. This response helps prepare the body to cope with the pain and stress. Monitoring blood pressure in a client reporting acute pain is essential to assess the impact of pain and determine appropriate pain management strategies.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse explains that endorphins are capable of reducing pain:

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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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?