A nurse is teaching a client who has chronic low back pain about nonpharmacological pain management strategies.
Which of the following statements by the client indicates an understanding of the teaching?
“I can apply a heating pad to my back for 30 minutes every hour.”
“I can do some gentle stretching exercises in the morning.”
“I can take a hot bath with Epsom salt before going to bed.”
“I can listen to some relaxing music while lying down.”.
The Correct Answer is A
This statement indicates an understanding of the teaching because stretching exercises are one of the recommended nonpharmacological pain management strategies for chronic low back pain. Stretching exercises can improve flexibility, mobility, and blood circulation, as well as reduce muscle tension and stiffness.
Choice A is wrong because applying a heating pad to the back for 30 minutes every hour can cause skin burns and inflammation. Heat therapy should be used for no more than 15 to 20 minutes at a time, and only after 48 hours of injury.
Choice C is wrong because taking a hot bath with Epsom salt before going to bed can also cause skin irritation and dehydration. Epsom salt has not been proven to have any benefits for chronic low back pain.
Choice D is wrong because listening to some relaxing music while lying down is not a specific nonpharmacological pain management strategy for chronic low back pain. Although music can be a form of distraction and relaxation, it does not address the underlying causes of chronic low back pain, such as poor posture, muscle weakness, or inflammation. Music therapy may be more effective for other types of chronic pain, such as cancer-related pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Fluoxetine can interact with tramadol and increase the risk of serotonin syndrome. Serotonin syndrome is a serious drug reaction that occurs when there is too much serotonin in the body.It can cause symptoms such as agitation, confusion, muscle rigidity, seizures, and coma.
Choice A is wrong because omeprazole is not known to affect serotonin levels or interact with tramadol.
Choice B is wrong because metformin is not known to affect serotonin levels or interact with tramadol.
Choice D is wrong because lisinopril is not known to affect serotonin levels or interact with tramadol.
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that increases the amount of serotonin available in the brain.
Tramadol is an opioid pain medication that also has some serotonin and norepinephrine reuptake inhibitory effects.When these two drugs are taken together, they can cause a buildup of excess serotonin that can lead to serotonin syndrome.
This is a rare but potentially life-threatening condition that requires immediate medical attention.
Normal ranges of serotonin in the blood are between 101 and 283 nanograms per milliliter (ng/mL).
Serotonin syndrome can occur when serotonin levels exceed 500 ng/mL.
Correct Answer is A
Explanation
This statement indicates an understanding of the teaching because stretching exercises are one of the recommended nonpharmacological pain management strategies for chronic low back pain.Stretching exercises can improve flexibility, mobility, and blood circulation, as well as reduce muscle tension and stiffness.
Choice A is wrong because applying a heating pad to the back for 30 minutes every hour can cause skin burns and inflammation.Heat therapy should be used for no more than 15 to 20 minutes at a time, and only after 48 hours of injury.
Choice C is wrong because taking a hot bath with Epsom salt before going to bed can also cause skin irritation and dehydration.Epsom salt has not been proven to have any benefits for chronic low back pain.
Choice D is wrong because listening to some relaxing music while lying down is not a specific nonpharmacological pain management strategy for chronic low back pain.Although music can be a form of distraction and relaxation, it does not address the underlying causes of chronic low back pain, such as poor posture, muscle weakness, or inflammation.Music therapy may be more effective for other types of chronic pain, such as cancer-related pain.
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