A nurse is teaching a client who is to receive transcutaneous electrical nerve stimulation (TENS) for pain management. The nurse should inform the client that TENS relieves pain by

providing distraction from the pain.

eliciting a relaxation response.

modulating the transmission of the pain impulse.

promoting increased circulation to the painful area.

Answer and Explanation

The Correct Answer is C

A. TENS does not primarily work by providing distraction from pain.

B.   While relaxation may be a secondary effect, the primary mechanism of TENS is not to elicit a relaxation response.
C.   TENS works by modulating the transmission of the pain impulse, disrupting pain signals from reaching the brain.
D.   TENS does not primarily work by promoting increased circulation to the painful area.

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Correct Answer is A

Explanation

A. Holding the dropper 1/2 inch (1 cm) above the ear canal during administration (option A) is indeed the correct action when administering otic medications. This distance helps to ensure that the medication is properly instilled into the ear canal without touching the dropper tip to the skin or ear canal, reducing the risk of contamination.
B. Placing a cotton ball into the inner ear canal is not necessary following otic administration. It may cause unnecessary discomfort to the client.

C. Straightening the ear canal by pulling the auricle down and back can make the medication trickle out of the ear. It should be held outward and upward.
D. Applying pressure to the nasolacrimal duct is a technique used for ophthalmic medications, not otic medications.

A. Don sterile gloves prior to the procedure. B. Lubricate 1 inch of the tip of the rectal tube prior to insertion. C. Place the client into a left Sims' position. D. Raise the enema bag if the client experiences cramping.

Correct Answer is C

Explanation

A. Sterile gloves are not necessary for a tap water enema; clean, non-sterile gloves are sufficient.

B. Lubricating the tip of the rectal tube is appropriate to ease insertion and enhance client comfort.
C. Placing the client into a left Sims' position facilitates optimal administration of a tap water enema.
D. Lowering, not raising, the enema bag will allow for a slower flow and may reduce cramping.

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A nurse is teaching a client who is to receive transcutaneous electrical nerve stimulation (TENS) for pain management. The nurse should inform the client that TENS relieves pain by

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is preparing to administer a tap water enema to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is performing an assessment of an older adult client in an assisted living facility. Which of the following findings is the highest priority for the nurse to address when planning care?

A nurse is caring for four clients. Which of the following clients is at the greatest risk for falling?

A nurse observes an assistive personnel (AP) empty an indwelling urinary catheter drainage bag while not wearing gloves. Which of the following interventions should the nurse take first?

A home health nurse is teaching a client who has diabetes mellitus about proper home disposal of syringes. Which of the following instructions should the nurse include?

A nurse should assign which of the following tasks to an assistive personnel?

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1,200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero is applicable. Do not use a trailing zero.)

A nurse is delegating obtaining the collection of a client's oral temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature. Which of the following rights of delegation should have prevented this situation from occurring?

A home health nurse is providing teaching to an older adult client who is at risk for falls. Which of the following statements by the client indicates a need for further teaching?