A nurse is teaching a client who has chronic pain about nonpharmacological pain management techniques.
Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.).
“I can use meditation to help me relax and cope with pain.”.
“I can apply cold packs to the painful area for up to 30 minutes.”.
“I can listen to music or watch a funny show to distract myself from pain.”.
“I can massage the painful area with firm pressure to relieve muscle tension.”.
“I can take a warm bath or shower to soothe the painful area.”.
Correct Answer : A,C,E
The correct answer is choice A, C and E. These statements indicate that the client understands the teaching about nonpharmacological pain management techniques.
• Choice A is correct because meditation can help the client relax and cope with pain by reducing stress and anxiety.
• Choice C is correct because distraction can help the client divert attention from pain by engaging in enjoyable or stimulating activities.
• Choice E is correct because heat can help the client soothe the painful area by increasing blood flow and relaxing muscles.
• Choice B is wrong because cold packs should not be applied to the painful area for more than 15 minutes at a time, as they can cause tissue damage or frostbite.
• Choice D is wrong because massage should not be done with firm pressure, as it can aggravate the pain or cause injury. Gentle massage may be beneficial for some clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. The client reports a pain level of 4 on a scale of 0 to 10.This indicates that the PCA pump is effective in reducing the client’s pain, which is the primary symptom of sickle cell crisis.
Choice B is wrong because a respiratory rate of 12 breaths per minute is normal and does not indicate the effectiveness of the PCA pump.
Choice C is wrong because a blood pressure of 140/90 mm Hg is high and may indicate hypertension, which is a complication of sickle cell disease.
Choice D is wrong because a pulse oximetry reading of 95% is normal and does not indicate the effectiveness of the PCA pump.
Normal ranges for vital signs are:
• Respiratory rate: 12-20 breaths per minute
• Blood pressure: <120/80 mm Hg
• Pulse oximetry: >95%
Correct Answer is A
Explanation
The correct answer is choice A. Serum calcium.Etidronate is a bisphosphonate that inhibits bone resorption and reduces the risk of skeletal complications in patients with cancer-related bone pain.However, it can also cause hypocalcemia (low serum calcium levels) as a side effect, which can lead to muscle spasms, numbness, tingling, seizures, and cardiac arrhythmias.
Therefore, the nurse should monitor the patient’s serum calcium levels regularly and supplement with calcium and vitamin D if needed.
Choice B. Serum potassium is wrong because etidronate does not affect potassium levels.Potassium is mainly regulated by the kidneys and can be altered by renal impairment, dehydration, acid-base imbalance, or medications such as diuretics or potassium-sparing agents.
Choice C. Serum creatinine is wrong because etidronate does not affect creatinine levels.
Creatinine is a waste product of muscle metabolism that is excreted by the kidneys.It reflects the glomerular filtration rate (GFR) and can be elevated in renal dysfunction or dehydration.
Choice D. Serum albumin is wrong because etidronate does not affect albumin levels.
Albumin is a protein that is synthesized by the liver and helps maintain fluid balance and transport substances in the blood.It can be decreased in liver disease, malnutrition, inflammation, or protein-losing conditions.
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