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 D

Explanation

A. While completing an incident report is important for documentation and quality improvement, it is not the immediate priority in the event of a medication error.

B. Notifying the nurse manager is a necessary step for reporting the error, but it should occur after ensuring the client's safety.

C. Calling the client's provider is essential to discuss the medication error and possible interventions, but the client's health and safety must be assessed first.

D. Assessing the client is the priority action to ensure the client’s safety and to identify any adverse effects resulting from the wrong medication. The nurse needs to determine the client's vital signs, level of consciousness, and any immediate symptoms related to the medication administered.

A. Give the medication. B. Return the medication to the pharmacy. C. Discard the medication. D. Notify the provider.

Correct Answer is C

Explanation

A. Giving the medication that is expired poses a risk to the client, as the safety and efficacy of the medication cannot be guaranteed past its expiration date.

B. Returning the medication to the pharmacy may not be feasible in this scenario; proper disposal is generally the nurse's responsibility for expired medications.

C. Discarding the medication is the appropriate action to ensure client safety, as expired medications should not be administered.

D. Notifying the provider is unnecessary in this case; the nurse's responsibility is to discard the expired medication and prepare a new dose that is within its expiration date.

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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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Correct Answer is D

Explanation

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Correct Answer is C

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