After completing Natalie's admission to the medical unit, the
staff nurse offers to guide Natalie through a series of relaxation
exercises. The nurse first plans to assist Natalie with a guided
imagery exercise. Natalie states that she would like to sit in the
armchair in the room and identifies the image of watching a
mountain sunset as being relaxing to her.
To ensure that the exercise is most effective, what action should
the nurse implement?
A: Help the client cross her legs in a semi-yoga position.
B: Encourage the client to lie down rather than sit in a chair.
C: Include as many sensory images as possible in the
experience.
D: Suggest that an image involving water may be more restful.
Correct Answer C: Include as many sensory images as possible
in the experience.
After completing the pain assessment, the nurse develops a plan
of care identifying pain and anxiety as priority problems.
The nurse considers interventions to include in the plan of care.
Before implementing any interventions, what action is the most
important for the nurse to take?
A: place a copy of the plan of care in the client's chart
B: evaluate the client's response to the interventions
C: review interventions in a care plan manual
D: discuss the plan of care with the client Correct Answer D:
discuss the plan of care with the client
, After the nurse explains how the TENS unit soothes pain,
Natalie wants to know the best way to apply and use the unit.
Which instructions should the nurse include?Select all that apply
A: after applying the electrodes, set the unit to provide
continuous stimulation
B: place the electrodes directly over the site of pain
C: make sure the equipment is not damaged in any way
D: make sure the unit is set to the prescribed level
E: it doesn't matter if you have pain cream or lotions on the site
Correct Answer B: place the electrodes directly over the site of
pain
C: make sure the equipment is not damaged in any way
D: make sure the unit is set to the prescribed level
An adult female, mother of two, visits the pain clinic of the
regional medical center in her community. She arrives at the
pain management clinic with complaints of back pain rated 6 out
of 10. She tells the nurse "the pain is so bad at times, that I am
unable to take care of my children."
Which information obtained by the nurse is most likely to
influence the client's perception of her pain?
A: the client's younger child is an infant who feeds every 3
hours
B: client's 4-year old enjoys being 'big brother' to his baby sister
C: client was a first grade teacher before having children but
now stays home