A patient experiencing discomfort because of severe arthritis would be described as having:

Chronic pain.

Episodic pain.

Phantom pain.

Acute pain.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Chronic pain is defined as pain that lasts for an extended period, typically more than 3-6 months, and is often associated with conditions like arthritis. Severe arthritis is a common cause of chronic pain, as it persists over a long duration.
Choice B rationale:
Episodic pain refers to pain that occurs intermittently, with pain-free intervals in between. This term is not appropriate for describing the continuous discomfort associated with severe arthritis.
Choice C rationale:
Phantom pain is the sensation of pain in a body part that has been amputated or lost, which is not relevant to a patient with severe arthritis.
Choice D rationale:
Acute pain is typically short-term and results from a specific injury or illness. It is not the appropriate term for describing the long-lasting pain associated with severe arthritis.

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Correct Answer is B

Explanation

Choice A rationale:

Placing electrodes on all four extremities is not the initial step in using a Transcutaneous Electrical Nerve Stimulator (TENS) unit. It may not be necessary for the specific pain management needs of the patient and can be uncomfortable or impractical.

Choice B rationale:

This is the correct initial step when starting TENS treatment. The nurse should adjust the settings to a level below the threshold at which the patient feels a tingling sensation. This ensures that the treatment is comfortable and safe for the patient. The goal is to provide pain relief, not to induce discomfort.

Choice C rationale:

Turning the unit on before attaching it to the patient is not advisable. It's essential to connect the electrodes to the patient first and then turn on the TENS unit. This sequence helps prevent accidental electrical stimulation before the device is properly set up.

Choice D rationale:

Applying conductive jelly to uncoated electrodes is a step in preparing the electrodes for use, but it should be done after attaching the electrodes to the patient's skin. This choice does not address the initial step in TENS treatment, which is setting the stimulation level. .

A. exercise in the mornings. B. take a nap during the day. C. drink wine. D. smoke cigarettes.

Correct Answer is A

Explanation

Choice A rationale:

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting that the patient exercises in the mornings. Morning exercise can help regulate the circadian rhythm and improve sleep-wake patterns. It helps to reset the internal body clock, making it easier to fall asleep at night. However, exercise should not be too close to bedtime, as it may have a stimulating effect.

Choice B rationale:

Taking a nap during the day may provide a short-term boost in alertness but is not recommended as the primary method to acquire normal sleep and rest patterns. Daytime naps should be brief (20-30 minutes) and should not interfere with nighttime sleep. Excessive daytime napping can disrupt the regular sleep cycle.

Choice C rationale:

Drinking wine is not a recommended approach for acquiring normal sleep and rest patterns. Alcohol consumption, especially in the evening, can disrupt sleep cycles and negatively affect the quality of sleep. It may lead to frequent awakenings during the night and contribute to sleep disturbances.

Choice D rationale:

Smoking cigarettes is not a recommended approach for acquiring normal sleep and rest patterns. Nicotine is a stimulant that can interfere with sleep by increasing alertness and heart rate. Smoking can contribute to sleep difficulties and should be avoided, especially close to bedtime. .

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A patient experiencing discomfort because of severe arthritis would be described as having:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit.The nurse will initially:.

Correct Answer is B

Explanation

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting to the patient that they:.

Correct Answer is A

Explanation

A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.).

The nurse takes into consideration the Joint Commission on Accreditation of Healthcare Organizations (CAHO) standards for pain assessment and treatment. Include:.

A nurse is assessing a client who has obstructive sleep apnea (OSA). Which of the following findings should the nurse expect?

There are three types of sleep apnea: obstructive, central, and mixed complex. Obstructive apnea is the most common type. It is caused by the relaxation of the soft tissues, which allows partial to total obstruction of the airway.

Going to bed hungry or overly full does not interfere with sleep. It helps the patient reach REM state of sleep faster.

The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:.

A nurse evaluating the effectiveness of an Aquathermia K pad for the leg is aware that the patient who has the least risk for burn injury from this device would be the patient with:.

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense a dose of analgesia. Which of the following responses should the nurse make?