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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
A. Fish, particularly fatty fish such as salmon, mackerel, and sardines, are excellent sources of omega-3 fatty acids, which are beneficial for heart health and reducing inflammation.
B. Leafy green vegetables contain some omega-3 fatty acids, but they are not considered a primary source compared to fish.
C. Dietary supplements can provide omega-3s, but they are not food sources and may not be necessary if individuals can obtain omega-3s from their diet.
D. Corn oil is primarily high in omega-6 fatty acids, which do not provide the same benefits as omega-3s and can lead to an imbalance if consumed in excess.
Correct Answer is D
Explanation
A. Assessing the pedal pulses with a Doppler device is not necessary in this situation; the focus should be on the apical pulse due to the irregularity noted in the radial pulse.
B. Assessing the pedal pulses for a full minute does not address the irregularity of the radial pulse and is not the priority.
C. While assessing the apical pulse is appropriate, using a Doppler device is not required unless there are difficulties in obtaining the pulse normally.
D. Assessing the apical pulse for a full minute is the correct action because it provides a more accurate reflection of the heart's rhythm and rate, especially when there is an irregular radial pulse.
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