A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

"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."

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

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

Answer and Explanation

The Correct Answer is D

A. Shaving the hair off the skin where the electrodes will be placed is correct, as it helps ensure proper contact and effectiveness of the TENS therapy.

B. Expressing hope to reduce the need for pain pills indicates the client understands the potential benefit of TENS in managing pain.

C. Wishing to avoid attaching electrodes indicates a common apprehension about the treatment but does not necessarily signify a misunderstanding of the TENS process.

D. The statement about having to be in the hospital suggests a misunderstanding since TENS is often used as an outpatient therapy and does not typically require hospitalization. This indicates the client needs further education about the treatment setting and process.

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Correct Answer is C

Explanation

A. Cloudy urine may indicate sediment or the presence of protein but does not necessarily require immediate notification to the provider.

B. A strong odor in the first-voided urine can be normal or due to dehydration or dietary factors, and does not immediately warrant concern.

C. A urine output of 175 mL in 8 hours is significantly low and indicates possible oliguria, which is a concern for impaired renal function and should be reported to the provider.

D. A urine output of 2,200 mL in 24 hours can indicate normal or excessive output (polyuria), but it is less concerning than oliguria and does not require immediate notification.

A. Determine the location of the pain. B. Reposition the client. C. Administer the medication. D. Review the effects of the pain medication.

Correct Answer is A

Explanation

A. Determining the location of the pain is the first step, as it helps the nurse understand the nature and source of the pain, guiding appropriate intervention and medication administration.

B. Repositioning the client may provide comfort but should follow an assessment of the pain to ensure targeted interventions.

C. Administering the medication without understanding the specifics of the pain is inappropriate, as it may not adequately address the client’s needs.

D. Reviewing the effects of the pain medication is important but should occur after assessing the pain to ensure the correct medication is administered based on the client’s specific situation.

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A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Nursing Test Bank

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